CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Spotsylvania Regional Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $824
  • Cash Discount Price: $1,160
  • vs. Medicare Baseline: 5.88x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Spotsylvania Regional Medical Center is $824. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,160. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 5.88x the Medicare baseline. Located in 4600 Spotsylvania Parkway, Fredericksburg, VA.
Cash / Self-Pay
$1,160

Average discount available for prompt cash payment at this facility.

Insurance Median
$824

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$140.21

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $140.21 (100%)
Cash / Self-Pay: $1,160 (827%)
Insurance Median: $824 (588%)
Cash: $1,160 (827% of Medicare)
Ins. Median: $824 (588% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $140.21 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 588% of the Medicare baseline (a markup of 488%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $139 99%
Johns Hopkins $143 102%
Cigna $177 - $246 126%
United $305 - $1,594 218%
Virginia Health Network $381 - $2,303 272%
Kaiser $642 - $2,090 458%
Greenvbrier Sporting Club $653 - $2,125 466%
Multiplan $773 - $2,515 551%
Corvel $784 - $2,551 559%
Occunet Workers Comp $871 - $2,834 621%
4Most Health Nework $980 - $3,188 699%
Three Rivers Provider Network $980 - $3,188 699%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4600 Spotsylvania Parkway, Fredericksburg, VA 22408
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals