CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Eastern Idaho Regional Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $864
Cash Discount Price: $1,470
vs. Medicare Baseline: 6.16x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Eastern Idaho Regional Medical Center is $864. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,470. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 6.16x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$1,470

Average discount available for prompt cash payment at this facility.

Insurance Median

$864

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: $1,470 (1048%)

Insurance Median: $864 (616%)

Cash: $1,470 (1048% of Medicare)

Ins. Median: $864 (616% 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 616% of the Medicare baseline (a markup of 516%). 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
Molina	$126	90%
Blue Cross Blue Shield	$126 - $4,341	90%
Cigna	$191	136%
Regence	$216	154%
United	$227 - $2,641	162%
Select Health	$262 - $1,385	187%
Select Health Ichn Brightpath	$262 - $1,545	187%
Select Health Idaho (Eirmc Only)	$276 - $1,458	197%
Aetna	$340 - $2,226	242%
Doug Andrus Distributing	$345 - $1,828	246%
University of Utah	$363 - $1,919	259%
Pacificsource Health	$363 - $2,449	259%
Mountain Health Co-Op	$432 - $3,427	308%
First Choice Health of Washington	$518 - $2,742	369%
Moda	$538 - $2,847	384%
Dmba	$556 - $2,943	397%
Prime Health	$648 - $3,884	462%
Geha PPO USA	$691 - $3,656	493%
Humana	$726 - $3,839	518%
Multiplan	$726 - $4,113	518%
First Choice of the Midwest	$777 - $4,113	554%
Interwest Health	$777 - $4,113	554%
St. John's Health Network	$777 - $4,113	554%
Coventry First Health	$786 - $4,159	561%
Shashone-Bannock Tribal Health	$864 - $4,570	616%

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 $1,470.
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 Eastern Idaho 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.