CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Mary Bridge Children's Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$263

about 1.9× the $140 Medicare rate · typically $148–$460

modeled estimate · not a bill or quote

Medicare pays $140 Fair price $263 Cash price $314 Hospital's list price $784

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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
UnitedHealthcaremajor	$138 - $857	98%
Blue Cross Blue Shieldmajor	$145 - $857	103%
Aetnamajor	$145 - $634	103%
Cignamajor	$577 - $718	412%
Kaiser Permanentemajor	$1,137	811%
Ambetter (Centene)	$2,816	2008%
Molina	$147 - $793	105%
PacificSource	$289 - $353	206%
WellCare	$147	105%
+ 4 smaller / regional plans	$154 - $2,499

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 314), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90371.

Insurance Before you use insurance

Call your insurance company to confirm Mary Bridge Children's Hospital is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90371.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mary Bridge Children's Hospital

Compare: Hepatitis B immune globulin at other WA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.