CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Gadsden Regional Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $579
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 4.13x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Gadsden Regional Medical Center is $579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 4.13x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$579

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: $164 (117%)
Insurance Median: $579 (413%)
Cash: $164 (117% of Medicare)
Ins. Median: $579 (413% 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 413% of the Medicare baseline (a markup of 313%). 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.

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Self Pay $116 - $232 83%
UnitedHealthcare $127 - $188 91%
Medicaid / KanCare $134 96%
Cigna $138 98%
Blue Cross Blue Shield $138 98%
Node Viva McR Adv $138 98%
Humana $138 98%
Medicare (plans) $138 98%
Node Select Health McR Adv $139 99%
Node Clover Health McR Adv $139 99%
Node Wellcare McR Adv $141 101%
Node Eon McR Adv $145 103%
Prime Health $147 - $930 105%
American Employee Alliance $386 - $515 275%
Aetna $500 - $667 357%
Multiplan $540 - $811 385%
Viva Healthcare $579 - $772 413%
Magellan Behavioral $579 - $772 413%
First Health $676 - $1,039 482%
Beech Street $704 - $1,525 502%
Alamed Wc $724 - $965 516%
Focus Health $738 - $985 526%
Coventry Work Comp Al $755 - $1,006 538%
Work Comp $820 - $1,094 585%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals