CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Three Rivers Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $328
Cash Discount Price: $336
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Three Rivers Medical Center is $328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 2.34x the Medicare baseline. Located in 2485 Highway 644, Louisa, KY.

Cash / Self-Pay

$336

Average discount available for prompt cash payment at this facility.

Insurance Median

$328

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: $336 (240%)

Insurance Median: $328 (234%)

Cash: $336 (240% of Medicare)

Ins. Median: $328 (234% 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 234% of the Medicare baseline (a markup of 134%). 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
Blue Cross Blue Shield	$134 - $153	96%
Aetna	$145 - $569	103%
Humana	$153 - $423	109%
UnitedHealthcare	$153 - $352	109%
Wellcare McAid-All Plans	$160	114%
Multiplan Primary Network-All Other Plans	$293 - $379	209%
Multiplan Complementary Network	$416 - $537	297%
Cigna	$416 - $537	297%

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 $336.
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 Three Rivers 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.