CMS Price Transparency Data

Rabies immune globulin

Facility: New London Hospital

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,418
Cash Discount Price: $1,846
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at New London Hospital is $1,418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,846. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 5.15x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$1,846

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,418

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: $1,846 (671%)

Insurance Median: $1,418 (515%)

Cash: $1,846 (671% of Medicare)

Ins. Median: $1,418 (515% 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 515% of the Medicare baseline (a markup of 415%). 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
UnitedHealthcare	$280 - $7,896	102%
Blue Cross Blue Shield	$280 - $7,997	102%
Martin's Point Health Care	$280 - $6,938	102%
Martin's Point Generations Advantage	$280 - $4,443	102%
Wellcare Health Plans	$288 - $4,443	105%
Aetna	$290 - $8,724	105%
Harvard Pilgrim Health Care of Ne	$292 - $7,201	106%
Wellsense Health Plan	$294 - $4,443	107%
Ambetter / Centene	$364 - $4,443	132%
Cigna	$488 - $6,836	177%
Granite State Health Plan	$510 - $5,096	185%
Amerihealth Caritas Nh	$515 - $5,146	187%
Tufts Health Plan	$698 - $7,268	254%
Coventry	$954 - $9,542	347%
Multiplan	$959 - $9,592	348%

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 $1,846.
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 New London 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.