CMS Price Transparency Data

Rabies immune globulin

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $720
Cash Discount Price: $665
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at UPMC Children's Hospital of Pittsburgh is $720. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $665. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 2.62x the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$665

Average discount available for prompt cash payment at this facility.

Insurance Median

$720

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: $665 (242%)

Insurance Median: $720 (262%)

Cash: $665 (242% of Medicare)

Ins. Median: $720 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Health Partners Plans (Jefferson Health Plan)	$39	14%
UnitedHealthcare	$40 - $1,107	15%
Geisinger	$41 - $934	15%
Health Plan of Upper Ohio Valley	$280 - $1,350	102%
Highmark Wholecare (Prev Gateway)	$280	102%
Blue Cross Blue Shield	$297 - $1,406	108%
Cigna	$302 - $1,142	110%
Amerihealth Caritas	$302 - $852	110%
UPMC Health Plan	$308 - $408	112%
Aetna	$308 - $1,142	112%
PA Health & Wellness	$440 - $831	160%
Intergroup	$715 - $1,765	260%
Coventry/First Health	$880 - $1,662	320%
Saudi Armed Forces	$880 - $1,662	320%
Health Payors Organization	$935 - $1,765	340%
Multiplan	$935 - $1,765	340%
Private Health Care Systems	$990 - $1,869	360%
National Provider Network	$990 - $1,869	360%

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 $665.
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 UPMC Children's Hospital of Pittsburgh 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.