CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Astria Sunnyside Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $92
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Astria Sunnyside Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 0.66x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $95 (68%)
Insurance Median: $92 (66%)
Cash: $95 (68% of Medicare)
Ins. Median: $92 (66% 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.

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
Medicare (plans) $37 - $42 26%
VA $41 29%
Medicaid / KanCare $41 - $51 29%
Molina $41 29%
Healthcomp_Ihs $41 29%
Aetna $41 - $146 29%
Humana $41 - $149 29%
Tricare $41 29%
Regence $85 61%
Cigna $100 71%
Li $102 73%
First_Choice $124 88%
Tpsc $129 92%
Kaiser $130 93%
Premera $135 96%
UnitedHealthcare $141 101%
Fhpw $146 104%
Healthcomp $149 106%
Great_Rivers $166 118%
Zenith $166 118%
Bcchp $166 118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1016 Tacoma Avenue, Sunnyside, WA 98944
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals