CMS Price Transparency Data

Rabies immune globulin

Facility: West Valley Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,570
Cash Discount Price: $4,767
vs. Medicare Baseline: 5.71x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at West Valley Medical Center is $1,570. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,767. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 5.71x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$4,767

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,570

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: $4,767 (1732%)

Insurance Median: $1,570 (571%)

Cash: $4,767 (1732% of Medicare)

Ins. Median: $1,570 (571% 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 571% of the Medicare baseline (a markup of 471%). 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	$205 - $7,401	74%
Molina	$242	88%
Cigna	$424	154%
St Luke's Health Partners	$449	163%
United	$462 - $4,651	168%
Select Health Idaho (Eirmc Only)	$557 - $2,485	202%
Regence	$577	210%
Corizon Health	$646 - $2,882	235%
True Blue	$689 - $3,077	250%
Pacificsource Health	$1,042 - $4,651	379%
Moda	$1,087 - $4,853	395%
Aetna	$1,380 - $6,162	501%
Multiplan	$1,396 - $6,232	507%
Four Rivers Hospice	$1,396 - $6,232	507%
Humana	$1,466 - $6,544	533%
Geha PPO USA	$1,483 - $6,622	539%
Coventry First Health	$1,570 - $7,011	571%
St Alphonsus Health	$1,570 - $7,011	571%

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 $4,767.
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 West Valley Medical Center 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.