CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Regional Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $3,511
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 25.04x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Regional Medical Center is $3,511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 25.04x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,511

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: $198 (141%)
Insurance Median: $3,511 (2504%)
Cash: $198 (141% of Medicare)
Ins. Median: $3,511 (2504% 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 2504% of the Medicare baseline (a markup of 2404%). 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
Medical Associates Health Plan - Tri $870 620%
Medirisk $2,633 1878%
Amish Delhi $2,809 2003%
Amish Edgewood $2,809 2003%
Wellmark $3,511 2504%
Medical Associates Health Plan $3,511 2504%
Wellpoint $3,511 2504%
Health Partners $3,511 2504%
Choicecare $3,511 2504%
Aetna $3,546 2529%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals