CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Vidant Chowan Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $811
Cash Discount Price: $1,911
vs. Medicare Baseline: 5.78x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Vidant Chowan Hospital is $811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,911. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 5.78x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$1,911

Average discount available for prompt cash payment at this facility.

Insurance Median

$811

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: $1,911 (1363%)

Insurance Median: $811 (578%)

Cash: $1,911 (1363% of Medicare)

Ins. Median: $811 (578% 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 578% of the Medicare baseline (a markup of 478%). 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	$219 - $1,877	156%
Carolina Complete Health [1317]	$222 - $937	158%
Wellcare [1320]	$223 - $942	159%
Amerihealth McAid Adv [1316]	$224 - $947	160%
Humana	$226 - $959	161%
UnitedHealthcare	$246 - $1,905	175%
Liberty Advantage [1313]	$254 - $1,073	181%
Aetna	$261 - $2,529	186%
Trillium [1296]	$285 - $1,206	203%
Longevity Health [1411]	$313 - $1,326	223%
Nc Dept of Public Safety [1095]	$409 - $1,732	292%
Medcost [1067]	$462 - $2,062	330%
Cigna	$621 - $2,937	443%
Multiplan [1031]	$694 - $2,937	495%

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 $1,911.
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 Vidant Chowan Hospital 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.