CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Dominion Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$213
about 1.5× the $140 Medicare rate · typically $133–$568
modeled estimate · not a bill or quote
What this hospital charges insurers
$143
Below the fair price — a good deal
about $70 under the fair price · 1.0× Medicare
Medicare pays $140 Fair price $213 This hospital $143

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $125 Priciest $143

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis B immune globulin is about $213 (about 1.5× the $140 Medicare rate). Dominion Hospital charges insurers about $143 — below the fair price — a good deal. Located in Falls Church, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Humanamajor $139 99%
Health Net $143 102%
+ 1 smaller / regional plan $143

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2960 Sleepy Hollow Road, Falls Church, VA 22044
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Psychiatric