CMS Price Transparency Data

Rabies immune globulin

Facility: Intermountain Health Sanpete Valley Hospital

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $6,070
  • Cash Discount Price: $4,792
  • vs. Medicare Baseline: 22.06x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Intermountain Health Sanpete Valley Hospital is $6,070. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,792. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 22.06x the Medicare baseline. Located in 1100 South Medical Drive, Mount Pleasant, UT.
Cash / Self-Pay
$4,792

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,070

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: $4,792 (1741%)
Insurance Median: $6,070 (2206%)
Cash: $4,792 (1741% of Medicare)
Ins. Median: $6,070 (2206% 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 2206% of the Medicare baseline (a markup of 2106%). 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
Aetna $278 - $10,224 101%
UnitedHealthcare $278 - $10,117 101%
Humana $278 - $10,117 101%
Blue Cross Blue Shield $278 - $10,117 101%
Selecthealth $278 - $10,117 101%
Molina $278 - $10,117 101%
Healthy U $278 - $9,478 101%
American Health $278 - $3,195 101%
Health Plan of Nevada $278 - $9,478 101%
Health Partners of Nevada $278 - $3,195 101%
Triwest $663 - $9,619 241%
Injury Care of Nevada $1,597 - $7,987 580%
Corvel Corporation $1,810 - $9,052 658%
Wcf Insurance $1,810 - $9,052 658%
Byu Risk Management $1,810 - $9,052 658%
Corporation of the President $1,810 - $9,052 658%
Campbell Scientific $2,023 - $10,117 735%
Awh Connected $2,023 - $10,224 735%
Wise Network $2,023 - $10,117 735%
Uofu $2,023 - $10,117 735%
Emi $2,023 - $10,117 735%
Prodegi Corp Benefit $2,023 - $10,117 735%
Springtide $2,023 - $10,117 735%
Franklin County $2,023 - $10,117 735%
Lw Miller $2,023 - $10,117 735%
Global Excel $2,023 - $10,117 735%
Deseret Mutual $2,023 - $10,117 735%
Ifit $2,023 - $10,117 735%
Emi Health $2,023 - $10,117 735%
Motivhealth $2,023 - $10,117 735%
Juniper Systems $2,023 - $10,117 735%
Byu Athletics $2,023 - $10,117 735%
Hygeia Corporation $2,023 - $10,117 735%
Health Utah $2,023 - $10,117 735%
Tanner LLC $2,023 - $10,117 735%
Cigna $2,023 - $10,117 735%
Medcare International $2,023 - $10,117 735%
Utah Tech $2,023 - $10,117 735%
Managed Care Admin $2,023 - $10,117 735%
Pehp $2,023 - $10,117 735%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 South Medical Drive, Mount Pleasant, UT 84647
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals