CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Gundersen Lutheran Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$143

about 1.0× the $140 Medicare rate · typically $137–$219

modeled estimate · not a bill or quote

What this hospital charges insurers

$144

About the fair price

about $1 over the fair price · 1.0× Medicare

Medicare pays $140 Fair price $143 This hospital $144 Cash price $89 Hospital's list price $235

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 $144

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 $143 (about 1.0× the $140 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $144, or about $89 in cash — about the fair price. Located in La Crosse, WI.

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✓ Humana Kaiser 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	$140 - $412	100%
Blue Cross Blue Shieldmajor	$128 - $412	91%
Aetnamajor	$140 - $224	100%
Cignamajor	$193	138%
Humanamajor	$224	160%
Amerigroup	$140 - $412	100%
Dean Health Plan	$99	71%
HealthPartners	$118 - $208	84%
Medica	$79 - $180	56%
Molina	$412	294%
Quartz	$141	101%
UCare	$140 - $188	100%
+ 15 smaller / regional plans	$140 - $412

Excludes 1 rental-network / third-party entry (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 89), 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 Gundersen Lutheran Medical Center 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 Gundersen Lutheran Medical Center

Compare: Hepatitis B immune globulin at other WI hospitals

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