CMS Price Transparency Data

Rabies immune globulin

Facility: Lafayette Regional Health Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,139
Cash Discount Price: $1,627
vs. Medicare Baseline: 4.14x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Lafayette Regional Health Center is $1,139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,627. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 4.14x the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

$1,627

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,139

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: $1,627 (591%)

Insurance Median: $1,139 (414%)

Cash: $1,627 (591% of Medicare)

Ins. Median: $1,139 (414% 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 414% of the Medicare baseline (a markup of 314%). 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
United	$280 - $11,377	102%
Ambetter / Centene	$281 - $4,702	102%
Healthyblue	$286	104%
Medicaid / KanCare	$288	105%
Aetna	$291 - $22,121	106%
Amerigroup	$291	106%
Unicare	$291	106%
Home State Health Plan	$302	110%
Universal Healthcare	$393 - $6,573	143%
Humana	$511 - $10,871	186%
Blue Cross Blue Shield	$574 - $16,180	209%
Oha Network	$755 - $12,641	274%
Oscar	$755 - $12,641	274%
Cigna	$863 - $18,051	314%
Wppa Providrs Care Network	$1,133 - $18,961	412%
Multiplan	$1,178 - $19,719	428%
Coventry	$1,205 - $20,174	438%
Coventry Kc Mo	$1,205 - $20,174	438%
Corvel Corporation	$1,284 - $21,489	467%
Cco, Inc.	$1,284 - $21,489	467%
Focus Healthcare Mgmt, Inc	$1,359 - $22,753	494%

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 $1,627.
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 Lafayette Regional Health 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.