CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $528
Cash Discount Price: $579
vs. Medicare Baseline: 3.77x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Childrens Hospital of the Kings Daughters Inc is $528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $579. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.77x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$579

Average discount available for prompt cash payment at this facility.

Insurance Median

$528

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: $579 (413%)

Insurance Median: $528 (377%)

Cash: $579 (413% of Medicare)

Ins. Median: $528 (377% 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 377% of the Medicare baseline (a markup of 277%). 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
Amerihealth Caritas	$94 - $703	67%
Healthy Blue	$94 - $703	67%
Carolina Complete Health	$96 - $717	68%
Wellcare	$97 - $724	69%
Sentara Health Plans	$189 - $1,415	135%
Cigna	$272 - $2,030	194%
Blue Cross Blue Shield	$276 - $1,428	197%
Virginia Health Network	$286 - $2,446	204%
UnitedHealthcare	$310 - $2,513	221%
Aetna	$336 - $2,513	240%
Medcost	$348 - $2,812	248%
First Health	$368 - $2,751	262%
Multiplan	$376 - $2,812	268%
PHCS	$376 - $2,904	268%
Vhn	$376 - $2,904	268%
Johns Hopkins Healthcare	$389 - $2,904	277%
Sentara Community Plan	$1,682	1200%
Humana	$1,763	1257%

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 $579.
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 Childrens Hospital of the Kings Daughters Inc 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.