CMS Price Transparency Data

Rabies immune globulin

Facility: Northeast Regional Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $963
  • Cash Discount Price: $841
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Northeast Regional Medical Center is $963. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $841. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 3.50x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$841

Average discount available for prompt cash payment at this facility.

Insurance Median
$963

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: $841 (306%)
Insurance Median: $963 (350%)
Cash: $841 (306% of Medicare)
Ins. Median: $963 (350% 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 350% of the Medicare baseline (a markup of 250%). 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) $280 102%
UnitedHealthcare $280 - $1,597 102%
Node VA $280 102%
Blue Cross Blue Shield $286 - $650 104%
Node Devoted Health McR Adv $294 107%
Blue Prefrerred $299 109%
Blue Pathway/Pathway X $299 109%
Blue Access $299 109%
Centurion Correctional $350 127%
Home State Exchange $504 183%
Self Pay $511 - $1,171 186%
Immergrun $560 204%
Cigna $724 - $833 263%
Aetna $792 - $1,776 288%
Access Health Services, LLC $1,384 503%
Multiplan $1,597 - $1,704 580%
Healthlink $1,597 - $1,704 580%
Coventry Wc $1,704 619%

Consumer Guidance & Cost Commentary

At Northeast Regional Medical Center in Kirksville, Missouri, the cash median price for Rabies immune globulin (HCPCS code 90375) is $841. This cash rate is significantly lower than the facility's gross charge of $2,130 and notably lower than the Medicare amount of $275.18, which serves as the federal benchmark for this service. The facility, a Proprietary Acute Care Hospital, has a rating of 2 stars. For patients without insurance, paying the cash price directly avoids the administrative overhead often associated with insurance billing cycles.

Commercial insurance plans at this facility generally pay negotiated rates that exceed the cash price, with the highest negotiated amounts reaching $1,776 for Aetna plans and $1,384 for Access Health Services. Several payers, including Medicare (plans), Node VA, and Blue Cross Blue Shield, have a consistent allowed amount of $280 or slightly higher across their plans. Because the cash price of $841 is lower than the negotiated rates for many commercial carriers, patients with high-deductible plans or those who have met their deductible may find it financially advantageous to pay out-of-pocket. It is recommended to verify if the facility offers a prompt-pay discount for self-pay patients and to request an itemized bill to ensure all charges are accurate before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals