CMS Price Transparency Data

Rabies immune globulin

Facility: Sanford Usd Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $2,353
  • Cash Discount Price: $4,098
  • vs. Medicare Baseline: 8.55x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Sanford Usd Medical Center is $2,353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,098. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 8.55x the Medicare baseline. Located in 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD.
Cash / Self-Pay
$4,098

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,353

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: $4,098 (1489%)
Insurance Median: $2,353 (855%)
Cash: $4,098 (1489% of Medicare)
Ins. Median: $2,353 (855% 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 855% of the Medicare baseline (a markup of 755%). 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
Sanford Health Plan Align $266 97%
Blue Cross Blue Shield $278 - $288 101%
Ucare $285 - $5,684 104%
UnitedHealthcare $288 - $7,124 105%
Health Partners $288 - $3,154 105%
Aetna $288 - $6,186 105%
Medicare (plans) $288 105%
Primewest $294 107%
Sanford Health Plan $306 111%
Security Health Plan $970 - $4,448 352%
Medica $1,188 - $5,830 432%
Multiplan $1,587 - $7,278 577%
First Choice Health Network $1,587 - $7,278 577%
Healthez $1,587 - $7,278 577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals