CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Ivinson Memorial Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $2,659
  • Cash Discount Price: $2,799
  • vs. Medicare Baseline: 18.96x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Ivinson Memorial Hospital is $2,659. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,799. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 18.96x the Medicare baseline. Located in 255 N 30Th, Laramie, WY.
Cash / Self-Pay
$2,799

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,659

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: $2,799 (1996%)
Insurance Median: $2,659 (1896%)
Cash: $2,799 (1996% of Medicare)
Ins. Median: $2,659 (1896% 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 1896% of the Medicare baseline (a markup of 1796%). 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
Cms $134 96%
Wise Networks $2,603 1857%
Blue Cross Blue Shield $2,631 1876%
Cigna $2,631 1876%
Great West Life $2,631 1876%
Altius $2,659 1896%
Coventry $2,659 1896%
First Health $2,659 1896%
Midlands Choice $2,659 1896%
UnitedHealthcare $2,659 1896%
Aetna $2,687 1916%
Assurant $2,687 1916%
Health Information Network $2,687 1916%
Meritain $2,687 1916%
Rci Insurance Group $2,687 1916%
Starmark $2,687 1916%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 N 30Th, Laramie, WY 82072
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals