CMS Price Transparency Data

Rabies immune globulin

Facility: Fishermen's Community Hospital

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,239
Cash Discount Price: $1,188
vs. Medicare Baseline: 4.50x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Fishermen's Community Hospital is $1,239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,188. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 4.50x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$1,188

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,239

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: $1,188 (432%)

Insurance Median: $1,239 (450%)

Cash: $1,188 (432% of Medicare)

Ins. Median: $1,239 (450% 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 450% of the Medicare baseline (a markup of 350%). 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
Blue Cross Blue Shield	$303 - $1,843	110%
Leon Medical	$381 - $387	138%
Medicare (plans)	$381 - $522	138%
UnitedHealthcare	$381 - $1,843	138%
Medica Health Plan	$381 - $387	138%
Humana	$415 - $422	151%
Avmed	$419 - $1,526	152%
Aetna	$421 - $1,412	153%
Cigna	$434 - $1,474	158%
Non Contracted	$665 - $676	242%
Amerigroup	$764	278%
Medicaid / KanCare	$764 - $841	278%
Wellcare	$802	291%
Sunshine State	$810	294%
Vista	$825	300%
International	$1,178 - $1,198	428%
Dimension Health Plan	$1,360 - $1,659	494%
Amerihealth	$1,360 - $1,382	494%
Affordable	$1,632 - $1,659	593%
PHCS	$1,632 - $1,659	593%
Quality Health	$1,632 - $1,659	593%

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 $1,188.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90375.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fishermen's Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90375.
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.