CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $264
Cash Discount Price: $1,399
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Univ. of Vermont - Fletcher Allen Health Care is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,399. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.88x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$1,399

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $1,399 (998%)

Insurance Median: $264 (188%)

Cash: $1,399 (998% of Medicare)

Ins. Median: $264 (188% 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.

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
UnitedHealthcare	$63 - $2,446	45%
Blue Cross Blue Shield	$88 - $2,334	63%
St. Regis	$134	96%
Capital District Physicians' Health Plan	$134 - $1,861	96%
Veterans Affairs Community Care Network	$134	96%
Humana	$134	96%
Aetna	$134	96%
Fidelis Care	$138	98%
Mvp	$138 - $1,988	98%
Martins Point	$138	98%
Wellpath	$172 - $1,367	123%
Magnacare	$250 - $1,988	178%
Harvard Pilgrim	$250 - $1,988	178%
Coventry	$266 - $2,112	190%
Ebpa	$269 - $2,137	192%
Nppn	$281 - $2,237	200%
Cigna	$310	221%

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 $1,399.
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 Univ. of Vermont - Fletcher Allen Health Care 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.