CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Cody Regional Health

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $446
  • Cash Discount Price: $578
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Cody Regional Health is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $578. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.18x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.
Cash / Self-Pay
$578

Average discount available for prompt cash payment at this facility.

Insurance Median
$446

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: $578 (412%)
Insurance Median: $446 (318%)
Cash: $578 (412% of Medicare)
Ins. Median: $446 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
Tricare $216 - $409 154%
Cigna $373 - $706 266%
Christian Hlthcare - All Plans $376 - $712 268%
Blue Cross Blue Shield $404 - $846 288%
First Choice Health - All Plans $423 - $801 302%
Medica Comm - All Other Plans $423 - $801 302%
Mountain Health - All Plans $423 - $801 302%
Pacific Source - All Plans $423 - $801 302%
Rocky Mtn Admin - All Plans $423 - $801 302%
Interwest Health PPO - All Plans $432 - $819 308%
First Health Ntwrk-All Plans $437 - $828 312%
Humana $437 - $828 312%
UnitedHealthcare $437 - $828 312%
Three Rivers - All Plans $446 - $846 318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 707 Sheridan Avenue, Cody, WY 82414
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals