CMS Price Transparency Data
Hepatitis B immune globulin
Facility: Watsonville Community Hospital
Billing Code: 90371 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90371
- Insurance Median: $350
- Cash Discount Price: $328
- vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Watsonville Community Hospital is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $328. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 2.50x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$328
Average discount available for prompt cash payment at this facility.
Insurance Median
$350
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: $328 (234%)
Insurance Median: $350 (250%)
Cash: $328 (234% of Medicare)
Ins. Median: $350 (250% 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 250% of the Medicare baseline (a markup of 150%). 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 |
|---|---|---|
| Victim Compensation Plan | $59 - $594 | 42% |
| Medicruz | $59 - $107 | 42% |
| Blue Shield HMO | $66 - $119 | 47% |
| UnitedHealthcare | $66 - $356 | 47% |
| Great-West/Phcs | $66 - $415 | 47% |
| Aetna | $66 - $487 | 47% |
| Cigna | $66 - $415 | 47% |
| Pacificare HMO | $66 - $356 | 47% |
| Blue Cross Blue Shield | $66 - $529 | 47% |
| Secure Horizons Dign HMO | $66 - $134 | 47% |
| Health Net Pmg HMO | $66 - $372 | 47% |
| Pinnacle Claims Tpa/Bc | $131 - $529 | 93% |
| Western Growers Trust/Bc | $131 - $529 | 93% |
| Secure Horizons | $134 | 96% |
| Alignment Health Plan | $134 | 96% |
| Medicare (plans) | $134 - $146 | 96% |
| Health Net of California | $134 - $372 | 96% |
| U.S. Dept. of Labor | $138 | 98% |
| Fleming & Associates | $138 | 98% |
| Pinnacle Healthcare Uc | $138 | 98% |
| Crawford & Co | $138 | 98% |
| Nx Health Network | $138 | 98% |
| Kemper Group Workers Comp | $138 | 98% |
| Republic Idemnity W/Comp | $138 | 98% |
| Gallagher Bassett Svcs | $138 | 98% |
| Hartford Workers' Comp | $138 | 98% |
| Healthy Families | $138 - $140 | 98% |
| Workers Comp | $138 | 98% |
| Liberty Mutual Work Comp | $138 | 98% |
| Ace-Usa | $138 | 98% |
| Miscellaneous Work Comp | $138 | 98% |
| Bs Employee | $138 | 98% |
| Blue Shield PPO | $138 | 98% |
| Ufcw/Valley Clerks | $138 | 98% |
| Travelers Insurance | $138 - $594 | 98% |
| Western Growers Work Comp | $138 | 98% |
| United Agriculture | $138 | 98% |
| Fireman's Fund Work Comp | $138 | 98% |
| Beta Healthcare Group | $138 | 98% |
| Keenan & Assoc Work Comp | $138 | 98% |
| Medi-Cal E.R. | $140 | 100% |
| Medi-Cal/Eds | $140 | 100% |
| Ccs/Monterey County | $140 | 100% |
| California Childrens Srvs | $140 | 100% |
| Well Path | $140 - $594 | 100% |
| Medicaid / KanCare | $140 | 100% |
| Tricare | $146 | 104% |
| Veterans Administration | $146 | 104% |
| Western Health Advantage | $164 - $297 | 117% |
| Pacificare PPO | $197 - $356 | 141% |
| Health Net Smartcare Netw | $197 - $356 | 141% |
| Self Pay | $197 - $356 | 141% |
| Health Net Canopycare HMO | $206 - $372 | 147% |
| Health Net Blue and Gold | $206 - $372 | 147% |
| Alliance/Sccho | $217 | 155% |
| Geha (Ccn) | $230 - $475 | 164% |
| Adventist Risk Management | $230 - $475 | 164% |
| Transwestern | $230 - $475 | 164% |
| First Health | $230 - $475 | 164% |
| Private Healthcare System | $256 - $463 | 183% |
| Multiplan Inc PPO | $256 - $463 | 183% |
| Salinas Valley Mem Hops | $279 - $504 | 199% |
| Coastal Healthcare Admin | $279 - $534 | 199% |
| Monterey Bay Pub Emp Trst | $284 - $529 | 203% |
| Operating Engineers | $284 - $529 | 203% |
| Laborers Health & Welfare | $284 - $529 | 203% |
| State Compensation Fund | $284 - $529 | 203% |
| Calif Ironworkers Field | $284 - $529 | 203% |
| Robert Kennedy/Ccn | $284 - $529 | 203% |
| Carpenters H&W Trust | $284 - $529 | 203% |
| Teamsters Benefit Trust | $284 - $529 | 203% |
| City of Wats/Pinnacle Clm | $284 - $529 | 203% |
| Delta Health Systems | $284 - $529 | 203% |
| Sheet Metal Workers | $284 - $529 | 203% |
| Claims Management Wc | $284 - $529 | 203% |
| State Farm Ins | $328 - $594 | 234% |
| United Administrative | $328 - $594 | 234% |
| Prucare Pmg HMO | $328 - $594 | 234% |
| Miscellaneous Auto | $328 - $594 | 234% |
| Humana | $328 - $594 | 234% |
| Sutter Health Plus | $328 - $594 | 234% |
| Bankers Life & Casualty | $328 - $594 | 234% |
| North Calif Bakery Driver | $328 - $594 | 234% |
| Wholesale Beer Distributo | $328 - $594 | 234% |
| Aarp | $328 - $594 | 234% |
| Apwu Health Plan | $328 - $594 | 234% |
| Aaa | $328 - $594 | 234% |
| Allstate | $328 - $594 | 234% |
| Miscellaneous Insurance | $328 - $594 | 234% |
| Zenith National Ins | $328 - $594 | 234% |
| Prucare Pmg POS | $328 - $594 | 234% |
| Farmers Insurance | $328 - $594 | 234% |
| Physicians Mutual | $328 - $594 | 234% |
| Kaiser Northern | $429 | 306% |