CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Kingman Regional Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $2,603
Cash Discount Price: $1,494
vs. Medicare Baseline: 18.57x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Kingman Regional Medical Center is $2,603. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,494. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 18.57x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$1,494

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,603

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: $1,494 (1066%)

Insurance Median: $2,603 (1857%)

Cash: $1,494 (1066% of Medicare)

Ins. Median: $2,603 (1857% 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 1857% of the Medicare baseline (a markup of 1757%). 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
Hpn Sierra Nevada McR Adv	$134	96%
Medicare (plans)	$134	96%
Triwest - All Plans	$134	96%
Health Choice Generations	$134	96%
Humana	$137 - $2,924	98%
UnitedHealthcare	$138 - $2,130	98%
Care 1St McR Adv-All Other Plans	$141	101%
Mercy Care Adv Snp-All Other Plans	$148	106%
Geo Group Chc Az State Prison-All Plans	$201	143%
Health Choice- All Other Plans	$335	239%
Blue Cross Blue Shield	$2,433	1735%
Health Plan of Nevada-All Other Plans	$2,574	1836%
Aetna	$2,633	1878%
Multiplan-All Plans	$3,414	2435%
Health Choice Hie Exchange	$3,414	2435%
Cigna	$3,841	2739%
Three Rivers-All Plans	$3,927	2801%
America's Choice Provider Network-All Plans	$4,055	2892%
Health Choice Az	$4,268	3044%
One Health Plan-All Plans	$4,268	3044%
Universal Health-All Plans	$4,268	3044%
Mediversal-All Plans	$4,268	3044%
Apipa - Ahcccs-All Other Plans	$4,268	3044%
Az Foundation-All Plans	$4,268	3044%
Care 1St McAid	$4,481	3196%
Mercy Care Ahcccs Ddd	$4,695	3349%

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 $1,494.
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 Kingman Regional Medical Center 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.