CMS Price Transparency Data

Rabies immune globulin

Facility: Porter Hospital Inc

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $729
Cash Discount Price: $1,054
vs. Medicare Baseline: 2.65x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Porter Hospital Inc is $729. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,054. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 2.65x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$1,054

Average discount available for prompt cash payment at this facility.

Insurance Median

$729

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: $1,054 (383%)

Insurance Median: $729 (265%)

Cash: $1,054 (383% of Medicare)

Ins. Median: $729 (265% 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 265% of the Medicare baseline (a markup of 165%). 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
Humana	$266	97%
Veterans Affairs Community Care Network	$280	102%
Fidelis Care	$595	216%
Mvp	$661 - $1,310	240%
Martins Point	$661	240%
UnitedHealthcare	$661 - $1,391	240%
Aetna	$661	240%
Capital District Physicians' Health Plan	$661 - $1,172	240%
Veterans Choice	$661	240%
Blue Cross Blue Shield	$675 - $1,096	245%
Wellpath	$773	281%
Harvard Pilgrim	$1,124	408%
Coventry	$1,237	450%
Cigna	$1,278	464%
Medical Corporation	$1,335	485%
Multiplan	$1,335	485%

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 $1,054.
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 Porter Hospital Inc 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.