CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Mercyone Oelwein Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $2,243
  • Cash Discount Price: $3,149
  • vs. Medicare Baseline: 16.00x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Mercyone Oelwein Medical Center is $2,243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,149. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 16.00x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$3,149

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,243

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: $3,149 (2246%)
Insurance Median: $2,243 (1600%)
Cash: $3,149 (2246% of Medicare)
Ins. Median: $2,243 (1600% 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 1600% of the Medicare baseline (a markup of 1500%). 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
Blue Cross Blue Shield $653 - $1,278 466%
Blue Shield - Id (Regence) $653 466%
Wc Domestic $653 466%
Kaiser Domestic $653 466%
Pre-Employment $653 466%
Blue Care Network $653 466%
Blue Shield - PA (Highmark) $653 466%
Blue Shield - Ny Highmark Western $653 466%
Bcn Domestic $653 466%
Blue Distinction Transplant $653 466%
Blue Benefit Administrators of Massachusetts $653 466%
Blue Shield - Wa (Regence) $653 466%
Blue Shield - Ny Highmark Northeastern $653 466%
Blue Shield - Ca $653 466%
Medicare (plans) $1,203 - $1,341 858%
Iowa Total Care $1,220 870%
Medicaid / KanCare $1,238 - $1,244 883%
UnitedHealthcare $1,368 - $2,717 976%
Aetna $1,485 - $2,894 1059%
Amish Hospital Aid $1,717 1225%
Centivo $1,936 1381%
Ambetter / Centene $2,169 1547%
Health Choices $2,317 1653%
Medical Associates $2,317 1653%
Nova $2,595 1851%
Claimdoc $2,595 1851%
Geha $2,717 1938%
Lucent Health $2,894 2064%
Luminare Health $2,894 2064%
Webtpa $2,894 2064%
First Health $2,894 2064%
Meritain $2,894 2064%
Medical Mutual $2,894 2064%
Christian Brother Services $2,894 2064%
1199 National Benefit Fund $2,894 2064%
Coventry $2,894 2064%
Trustmark Small Business Benefits $2,894 2064%
Allied Benefit Systems $2,894 2064%
Asr Health Benefits $2,894 2064%
Health Partners $3,029 2160%
Multiplan $3,054 2178%
Cigna $3,086 2201%
Medica $3,086 2201%
Midlands Choice $3,086 2201%
Auxiant $3,086 2201%
Midlands $3,086 2201%
Iowa Dept of Public Health $3,149 2246%
Crime Victim Assistance $3,149 2246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals