CMS Price Transparency Data

Rabies immune globulin

Facility: Mercyone Oelwein Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $2,290
  • Cash Discount Price: $3,214
  • vs. Medicare Baseline: 8.32x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Mercyone Oelwein Medical Center is $2,290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,214. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 8.32x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$3,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,290

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: $3,214 (1168%)
Insurance Median: $2,290 (832%)
Cash: $3,214 (1168% of Medicare)
Ins. Median: $2,290 (832% 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 832% of the Medicare baseline (a markup of 732%). 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
Pre-Employment $533 194%
Blue Shield - Ny Highmark Western $533 194%
Blue Shield - Ny Highmark Northeastern $533 194%
Blue Cross Blue Shield $533 - $1,304 194%
Wc Domestic $533 194%
Kaiser Domestic $533 194%
Blue Benefit Administrators of Massachusetts $533 194%
Blue Shield - Wa (Regence) $533 194%
Blue Shield - Id (Regence) $533 194%
Bcn Domestic $533 194%
Blue Shield - PA (Highmark) $533 194%
Blue Distinction Transplant $533 194%
Blue Care Network $533 194%
Blue Shield - Ca $533 194%
Medicare (plans) $1,228 - $1,369 446%
Iowa Total Care $1,246 453%
Medicaid / KanCare $1,264 - $1,270 459%
UnitedHealthcare $1,397 - $2,774 508%
Aetna $1,515 - $2,953 551%
Amish Hospital Aid $1,752 637%
Centivo $1,976 718%
Ambetter / Centene $2,214 805%
Medical Associates $2,365 859%
Health Choices $2,365 859%
Claimdoc $2,648 962%
Nova $2,648 962%
Geha $2,774 1008%
Asr Health Benefits $2,953 1073%
Medical Mutual $2,953 1073%
Lucent Health $2,953 1073%
Luminare Health $2,953 1073%
Meritain $2,953 1073%
First Health $2,953 1073%
Allied Benefit Systems $2,953 1073%
Christian Brother Services $2,953 1073%
Trustmark Small Business Benefits $2,953 1073%
Webtpa $2,953 1073%
Coventry $2,953 1073%
1199 National Benefit Fund $2,953 1073%
Health Partners $3,092 1124%
Multiplan $3,117 1133%
Midlands $3,150 1145%
Auxiant $3,150 1145%
Cigna $3,150 1145%
Midlands Choice $3,150 1145%
Medica $3,150 1145%
Crime Victim Assistance $3,214 1168%
Iowa Dept of Public Health $3,214 1168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals