CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Fairbanks Memorial Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $879
Cash Discount Price: $1,308
vs. Medicare Baseline: 6.27x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Fairbanks Memorial Hospital is $879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,308. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 6.27x the Medicare baseline. Located in 1650 Cowles Street, Fairbanks, AK.

Cash / Self-Pay

$1,308

Average discount available for prompt cash payment at this facility.

Insurance Median

$879

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: $1,308 (933%)

Insurance Median: $879 (627%)

Cash: $1,308 (933% of Medicare)

Ins. Median: $879 (627% 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 627% of the Medicare baseline (a markup of 527%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Banner Choice - All Plans	$86 - $463	61%
Tricare	$134	96%
VA (Triwest) - All Plans	$134	96%
Premera First - All Plans	$134	96%
Blue Cross Blue Shield	$299 - $1,611	213%
UnitedHealthcare	$303 - $1,629	216%
Aetna	$306 - $1,646	218%
Multiplan - All Plans	$309 - $1,663	220%
Moda Health Plan - All Plans	$309 - $1,663	220%
Cigna	$312 - $1,680	223%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,308.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fairbanks Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.