CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Fort Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$151
about 1.1× the $140 Medicare rate · typically $134–$208
modeled estimate · not a bill or quote
What this hospital charges insurers
$152
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $140 Fair price $151 This hospital $152

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 $152

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 $151 (about 1.1× the $140 Medicare rate). Fort Memorial Hospital charges insurers about $152 — about the fair price. Located in Fort Atkinson, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $126 - $404 90%
Blue Cross Blue Shieldmajor $126 - $396 90%
Humanamajor $126 - $144 90%
Dean Health Plan $126 - $396 90%
Molina $126 90%
Quartz $126 - $396 90%
+ 5 smaller / regional plans $180 - $650
Government programs also on file: Medicare, Medicaid.

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: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals