CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Johnson Memorial Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $469
  • Cash Discount Price: $1,768
  • vs. Medicare Baseline: 3.34x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Johnson Memorial Hospital is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,768. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.34x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$1,768

Average discount available for prompt cash payment at this facility.

Insurance Median
$469

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: $1,768 (1261%)
Insurance Median: $469 (334%)
Cash: $1,768 (1261% of Medicare)
Ins. Median: $469 (334% 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 334% of the Medicare baseline (a markup of 234%). 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
Connecticare $63 - $536 45%
Connecticut Dept of Correction $131 - $653 93%
UnitedHealthcare $135 - $3,149 96%
Blue Cross Blue Shield $135 - $2,343 96%
Aetna $135 - $2,456 96%
Medicare (plans) $135 - $142 96%
Cca Senior Care Options $138 98%
Cigna $139 - $2,456 99%
Fallon Health $179 128%
Health Partners $200 - $1,000 143%
Magnacare $200 - $1,000 143%
Allegiance $200 - $1,000 143%
Health New England $252 - $2,047 180%
Diversified Administrators $289 206%
Innovative Health Plan II $289 206%
Claimdoc $289 206%
Meritain $302 - $2,456 215%
Webtpa $302 - $2,456 215%
Allied Benefit Systems $302 - $2,456 215%
1199 National Benefit Fund $302 - $2,456 215%
Gravie Admin Services $302 - $2,456 215%
Luminare Health $302 - $2,456 215%
Nippon Life Ins $302 - $2,456 215%
Hap $302 - $2,456 215%
Harvard Pilgrim Healthcare $310 - $2,520 221%
Geha $310 - $2,520 221%
Prime Health Services $310 - $2,519 221%
Centivo $321 229%
Asrm - Reliance Standard Life Insurance $322 - $2,613 230%
Ghc Scw $322 - $2,613 230%
Allied National Global Care $322 - $2,613 230%
Pai $322 - $2,613 230%
International Benefit Administrators $322 - $2,613 230%
Trinity Health Share $322 - $2,613 230%
Pan-American Life $322 - $2,613 230%
Dean Health $322 - $2,613 230%
Lifetime Benefit Solutions $322 - $2,613 230%
Manhattan Life $322 - $2,613 230%
PHCS $322 - $2,613 230%
Family Life Insurance Company $322 - $2,613 230%
Mvp $322 - $2,613 230%
Medi Share $322 - $2,613 230%
Paramount HMO $322 - $2,613 230%
Multiplan $322 - $2,613 230%
Christian Care Ministry $322 - $2,613 230%
Health Smart $330 - $2,676 235%
United Behavioral Health Eap $388 - $3,149 277%
Bcn Domestic $469 - $2,343 334%
Pre-Employment $469 - $2,343 334%
Blue Shield - Ca $469 - $2,343 334%
Wellpoint $469 - $2,343 334%
Blue Shield - Ny Highmark Western $469 - $2,343 334%
Health Choices $469 - $2,343 334%
Blue Shield - PA (Highmark) $469 - $2,343 334%
Blue Benefit Administrators of Massachusetts $469 - $2,343 334%
Wc Domestic $469 - $2,343 334%
Unicare $469 - $2,343 334%
Blue Shield - Id (Regence) $469 - $2,343 334%
Kaiser Domestic $469 - $2,343 334%
Blue Shield - Wa (Regence) $469 - $2,343 334%
Blue Care Network $469 - $2,343 334%
Blue Distinction Transplant $469 - $2,343 334%
Blue Shield - Ny Highmark Northeastern $469 - $2,343 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals