CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Garrett Regional Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $913
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.51x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Garrett Regional Medical Center is $913. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 6.51x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$913

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%)
Insurance Median: $913 (651%)
Ins. Median: $913 (651% 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 651% of the Medicare baseline (a markup of 551%). 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
Caresource Wv $872 622%
UnitedHealthcare $894 - $968 638%
Provider Partners $894 638%
Senior Advantage $894 638%
United Mine Workers of America $894 - $968 638%
Carefirst D-Snp $894 638%
Medicare (plans) $894 638%
Aetna $894 - $968 638%
Carefirst PPO $894 638%
Humana $894 638%
The Health Plan of Wv $913 651%
Carefirst Community Health Plan $913 651%
Amerigroup $913 651%
Coventry $913 651%
Wellpoint Wv $913 651%
Maryland Physicians Care $913 651%
Highmark Health Options Wv $913 651%
Multiplan $920 656%
UPMC Commercial $959 684%
First Health $968 690%
Cigna $968 690%
The Health Plan $968 690%
Peak Commercial $968 690%
Carefirst Commercial $968 690%
Stratose/ 4 Most $968 690%
The Health Plan Commercial $968 690%
John Hopkins Healthcare $968 690%
Alliance Coal $968 690%
American Correctional Healthcare $968 690%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 251 North Fourth Street, Oakland, MD 21550
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals