CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Ascension Ne Wisconsin - St Elizabeth Campus

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$171

about 1.2× the $140 Medicare rate · typically $147–$399

modeled estimate · not a bill or quote

What this hospital charges insurers

$223

Above the fair price

about $52 over the fair price · 1.6× Medicare

Medicare pays $140 Fair price $171 This hospital $223 Cash price $174 Hospital's list price $306

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $123 Priciest $223

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

A fair price for a Hepatitis B immune globulin is about $171 (about 1.2× the $140 Medicare rate). Ascension Ne Wisconsin - St Elizabeth Campus charges insurers about $223, or about $174 in cash — above the fair price. Located in Appleton, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $171. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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
UnitedHealthcaremajor	$193	138%
Blue Cross Blue Shieldmajor	$186 - $444	133%
Molina	$301	215%
WellCare	$150	107%
+ 4 smaller / regional plans	$201 - $1,400

Government programs also on file: Medicare, Military & VA.

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 174), 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 Ascension Ne Wisconsin - St Elizabeth Campus 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 Ascension Ne Wisconsin - St Elizabeth Campus

Compare: Hepatitis B immune globulin at other WI hospitals

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