CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Stonewall Jackson Memorial Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $924
  • Cash Discount Price: $1,257
  • vs. Medicare Baseline: 6.59x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Stonewall Jackson Memorial Hospital is $924. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,257. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 6.59x the Medicare baseline. Located in 230 Hospital Plaza, Weston, WV.
Cash / Self-Pay
$1,257

Average discount available for prompt cash payment at this facility.

Insurance Median
$924

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$140.21

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $140.21 (100%)
Cash / Self-Pay: $1,257 (897%)
Insurance Median: $924 (659%)
Cash: $1,257 (897% of Medicare)
Ins. Median: $924 (659% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $140.21 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 659% of the Medicare baseline (a markup of 559%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $111 - $3,244 79%
Umwa $146 104%
Humana $146 104%
Ves $146 104%
Universal_Health $151 108%
Blue Cross Blue Shield $651 - $692 464%
Onenet $839 - $3,499 598%
Healthsmart_Hpo $875 - $3,649 624%
Healthsmart_Accel $875 - $3,649 624%
Sharpe $875 - $3,649 624%
Healthsmart_Auto $875 - $3,649 624%
Healthsmart_Ppo $875 - $3,649 624%
Cigna $877 - $3,657 625%
UnitedHealthcare $904 - $3,771 645%
Ccn $924 - $3,852 659%
Multiplan $924 - $3,852 659%
Alliance_Ppo $924 - $3,852 659%
Napp $948 - $3,953 676%
4_Most $953 - $3,973 680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 230 Hospital Plaza, Weston, WV 26452
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals