CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Kootenai Health

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $158
Cash Discount Price: $192
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Kootenai Health is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.13x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $192 (137%)

Insurance Median: $158 (113%)

Cash: $192 (137% of Medicare)

Ins. Median: $158 (113% 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.

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 Healthcare of Idaho	$67 - $142	48%
Wellpoint	$104 - $126	74%
Magellan	$104 - $126	74%
Regence Blue Shield of Idaho	$138 - $158	98%
Premera	$138 - $170	98%
Humana	$138	98%
UnitedHealthcare	$138 - $230	98%
Blue Cross Blue Shield	$139 - $230	99%
Pacificsource	$139 - $221	99%
Aetna	$143 - $212	102%
Mountain Health Co-Op	$198	141%
Cigna	$210 - $213	150%
First Choice Health (Ameriben)	$218 - $222	155%
Interwest Health	$218	155%
Group Health/Kaiser	$496	354%

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 $192.
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 Kootenai Health 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.