CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Childrens Hospital of Wisconsin

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$249

about 1.8× the $140 Medicare rate · typically $137–$442

modeled estimate · not a bill or quote

What this hospital charges insurers

$296

Above the fair price

about $47 over the fair price · 2.1× Medicare

Medicare pays $140 Fair price $249 This hospital $296 Cash price $166 Hospital's list price $301

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 $296

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 $249 (about 1.8× the $140 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $296, or about $166 in cash — above the fair price. Located in Milwaukee, 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 $249. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$192 - $382	137%
Blue Cross Blue Shieldmajor	$204 - $494	145%
Aetnamajor	$233 - $494	166%
Cignamajor	$236 - $468	168%
Dean Health Plan	$210 - $416	150%
Health Net	$223 - $468	159%
HealthPartners	$204 - $458	145%
Quartz	$223 - $442	159%
Security Health Plan	$217 - $432	155%
+ 17 smaller / regional plans	$183 - $468

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 166), 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 Childrens Hospital of Wisconsin 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 Childrens Hospital of Wisconsin

Compare: Hepatitis B immune globulin at other WI hospitals

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