CMS Price Transparency Data

Rabies immune globulin

Facility: Johnson Memorial Hospital

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $12,855
  • Cash Discount Price: $16,069
  • vs. Medicare Baseline: 46.71x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Johnson Memorial Hospital is $12,855. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,069. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 46.71x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$16,069

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,855

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$275.18

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $275.18 (100%)
Cash / Self-Pay: $16,069 (5839%)
Insurance Median: $12,855 (4671%)
Cash: $16,069 (5839% of Medicare)
Ins. Median: $12,855 (4671% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $275.18 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 4671% of the Medicare baseline (a markup of 4571%). 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
Medicare (plans) $274 - $288 100%
UnitedHealthcare $274 - $16,069 100%
Aetna $274 - $12,534 100%
Blue Cross Blue Shield $274 - $12,857 100%
Cca Senior Care Options $280 102%
Cigna $283 - $12,534 103%
Fallon Health $364 132%
Claimdoc $588 214%
Innovative Health Plan II $588 214%
Diversified Administrators $588 214%
Centivo $652 237%
Connecticare $1,308 - $2,237 475%
Connecticut Dept of Correction $2,664 968%
Health Partners $4,392 1596%
Allegiance $4,392 1596%
Magnacare $4,392 1596%
Health New England $10,445 3796%
Gravie Admin Services $12,534 4555%
Hap $12,534 4555%
Luminare Health $12,534 4555%
Webtpa $12,534 4555%
Nippon Life Ins $12,534 4555%
1199 National Benefit Fund $12,534 4555%
Allied Benefit Systems $12,534 4555%
Meritain $12,534 4555%
Prime Health Services $12,855 4671%
Wellpoint $12,857 4672%
Health Choices $12,857 4672%
Blue Distinction Transplant $12,857 4672%
Bcn Domestic $12,857 4672%
Blue Shield - Ca $12,857 4672%
Blue Shield - Wa (Regence) $12,857 4672%
Blue Shield - Ny Highmark Western $12,857 4672%
Blue Shield - PA (Highmark) $12,857 4672%
Kaiser Domestic $12,857 4672%
Pre-Employment $12,857 4672%
Blue Shield - Ny Highmark Northeastern $12,857 4672%
Blue Benefit Administrators of Massachusetts $12,857 4672%
Unicare $12,857 4672%
Wc Domestic $12,857 4672%
Blue Shield - Id (Regence) $12,857 4672%
Blue Care Network $12,857 4672%
Harvard Pilgrim Healthcare $12,860 4673%
Geha $12,860 4673%
Trinity Health Share $13,337 4847%
Multiplan $13,337 4847%
Ghc Scw $13,337 4847%
Lifetime Benefit Solutions $13,337 4847%
Manhattan Life $13,337 4847%
Dean Health $13,337 4847%
Pan-American Life $13,337 4847%
PHCS $13,337 4847%
Mvp $13,337 4847%
Family Life Insurance Company $13,337 4847%
International Benefit Administrators $13,337 4847%
Christian Care Ministry $13,337 4847%
Paramount HMO $13,337 4847%
Medi Share $13,337 4847%
Asrm - Reliance Standard Life Insurance $13,337 4847%
Pai $13,337 4847%
Allied National Global Care $13,337 4847%
Health Smart $13,659 4964%
United Behavioral Health Eap $16,069 5839%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals