CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Charleston Area Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $342
Cash Discount Price: $1,089
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Charleston Area Medical Center is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,089. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 2.44x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$1,089

Average discount available for prompt cash payment at this facility.

Insurance Median

$342

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: $1,089 (777%)

Insurance Median: $342 (244%)

Cash: $1,089 (777% of Medicare)

Ins. Median: $342 (244% 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 244% of the Medicare baseline (a markup of 144%). 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
The Health Plan of West Virginia Inc.	$54 - $1,890	39%
Unicare Health Plan of West Virginia Inc.	$54 - $460	39%
Triwest VA	$56 - $472	40%
Optimum Choice Inc.	$57 - $487	41%
Choicecare Network	$57 - $1,909	41%
Blue Cross Blue Shield	$57 - $1,777	41%
Aetna	$58 - $1,909	41%
UnitedHealthcare	$59 - $1,909	42%
West Virginia Senior Advantage Inc.	$60 - $511	43%
Caresource	$86 - $731	61%
Integrated Medical Solutions	$112 - $950	80%
Naphcare	$114 - $974	81%
Tricare	$137 - $1,169	98%
City of Charleston	$172 - $1,461	123%
Cigna	$213 - $1,812	152%
Three Rivers Providers Network	$222 - $1,890	158%
Multiplan	$224 - $1,909	160%
Healthsmart	$224 - $1,909	160%

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 $1,089.
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 Charleston Area Medical Center 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.