CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Grandview Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $1,108
  • Cash Discount Price: $540
  • vs. Medicare Baseline: 7.90x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Grandview Medical Center is $1,108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 7.90x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$540

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,108

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: $540 (385%)
Insurance Median: $1,108 (790%)
Cash: $540 (385% of Medicare)
Ins. Median: $1,108 (790% 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 790% of the Medicare baseline (a markup of 690%). 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
Medicaid / KanCare $134 96%
Victory Health $138 98%
Blue Advantage $138 98%
Viva Health $138 - $1,523 98%
Cigna $138 98%
UnitedHealthcare $138 - $1,246 98%
Node VA $138 98%
Medicare (plans) $138 98%
Humana $138 98%
Select Health $139 99%
Node Clover Health McR Adv $139 99%
Node Wellcare McR Adv $141 101%
Healthspring $241 172%
Self Pay $415 - $665 296%
Bp Health Advocate $692 494%
Aetna $770 549%
Ag Administrators $969 691%
Drummond $969 691%
Choicecare $969 691%
Alamed $969 691%
American Employee Alliance $1,108 790%
Value Options $1,384 987%
Healthchoice $1,384 - $1,661 987%
First Health $1,661 - $2,165 1185%
Multiplan $1,689 - $1,938 1205%
Blue Cross Blue Shield $1,936 1381%
Blue Bell Creameries $1,938 1382%
USA PPO $2,077 1481%
Natl Comp Care $2,077 1481%
Coventry Work Comp Al $2,165 1544%
Novanet $2,236 1595%
Corvel $2,354 1679%
Alabama Wc $2,354 1679%
Cal-Med $2,354 1679%
Associated Admin $2,492 1777%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals