CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Lewisgale Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $3,341
  • Cash Discount Price: $4,705
  • vs. Medicare Baseline: 23.83x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Lewisgale Medical Center is $3,341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,705. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 23.83x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$4,705

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,341

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: $4,705 (3356%)
Insurance Median: $3,341 (2383%)
Cash: $4,705 (3356% of Medicare)
Ins. Median: $3,341 (2383% 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 2383% of the Medicare baseline (a markup of 2283%). 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
Triatlantic $122 87%
Health Net $129 92%
Humana $139 99%
United $413 - $8,240 295%
Cigna $540 - $8,057 385%
Virginia Health Network $1,085 - $13,002 774%
Naphcare $1,550 - $9,156 1105%
Greenvbrier Sporting Club $1,861 - $10,987 1327%
Richfield Nursing Center $2,171 - $12,818 1548%
Graham-White Manufacturing $2,171 - $12,818 1548%
Corvel $2,233 - $13,185 1593%
Richfield Retirement Community $2,326 - $13,734 1659%
Community Care Network $2,326 - $13,734 1659%
Csx Hotels $2,481 - $14,650 1769%
Occunet Workers Comp $2,481 - $14,650 1769%
One Health Plan $2,481 - $14,650 1769%
Patients Choice $2,729 - $16,115 1946%
PHCS $2,791 - $16,481 1991%
Star Transportation $2,791 - $16,481 1991%
Multiplan $2,791 - $16,481 1991%
C&O Employees Hospital Assn $2,791 - $16,481 1991%
4Most $2,791 - $16,481 1991%
American Postal Workers Union $2,791 - $16,481 1991%
Alleghany Highland Community $2,791 - $16,481 1991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals