CMS Price Transparency Data
Rabies immune globulin
Facility: Mercy Hospital Fort Smith
Billing Code: 90375 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90375
- Insurance Median: $564
- Cash Discount Price: $1,371
- vs. Medicare Baseline: 2.05x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Mercy Hospital Fort Smith is $564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,371. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 2.05x the Medicare baseline. Located in 7301 Rogers Ave, Fort Smith, AR.
Cash / Self-Pay
$1,371
Average discount available for prompt cash payment at this facility.
Insurance Median
$564
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: $1,371 (498%)
Insurance Median: $564 (205%)
Cash: $1,371 (498% of Medicare)
Ins. Median: $564 (205% 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 205% of the Medicare baseline (a markup of 105%). 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.
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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 | $275 - $1,688 | 100% |
| American Health Advantage of Mo McR [20264] | $275 | 100% |
| Blue Cross Blue Shield | $275 - $662 | 100% |
| Cherokee Nation Health Serv Contracted [320066] | $275 | 100% |
| Cross Timbers Hospice [20098] | $275 | 100% |
| Dept of Veteran Affairs Contracted [320106] | $275 | 100% |
| Elara Caring Aspire Hospice Contracted [320433] | $275 | 100% |
| Elara Caring Aspire Hospice [20433] | $275 | 100% |
| Globalhealth Contracted [320145] | $275 | 100% |
| Halo Hcr Inc Hospice Contracted [320432] | $275 | 100% |
| Halo Hcr Inc Hospice [20432] | $275 | 100% |
| Humana | $275 - $1,582 | 100% |
| Independent Health [20197] | $275 | 100% |
| Jordan Valley Senior Care Pace [20515] | $275 | 100% |
| Kindful Hospice Contracted [320434] | $275 | 100% |
| Kindful Hospice [20434] | $275 | 100% |
| Medical Associates Health [20444] | $275 | 100% |
| Medicare (plans) | $275 - $289 | 100% |
| Mercy Hospice Okc [20252] | $275 | 100% |
| Pace of the Ozarks [20518] | $275 | 100% |
| Provider Partners Health Plans Contracted [320450] | $275 | 100% |
| Qual Choice Contracted [320325] | $275 | 100% |
| Spina Bifida Hlthcare Benefit [20506] | $275 | 100% |
| Tribute Health Plan McR [20338] | $275 | 100% |
| Tricare | $275 | 100% |
| UnitedHealthcare | $275 - $533 | 100% |
| Valir Pace [20503] | $275 | 100% |
| Wellfirst Health McR [20443] | $275 | 100% |
| Cigna | $289 - $1,056 | 105% |
| Ambetter / Centene | $392 | 142% |
| Home State Health Plan Contracted [320187] | $392 | 142% |
| Medicaid / KanCare | $392 - $716 | 142% |
| Novasys Contracted [320285] | $392 | 142% |
| Mercy Interfacility [20513] | $465 | 169% |
| United Medical Resources Contracted [320454] | $533 | 194% |
| Arkansas Department of Health [20036] | $564 | 205% |
| Summit Community Care Contracted [320368] | $564 | 205% |
| Summit Community Care [20368] | $564 | 205% |
| Health Choice Contracted [320166] | $607 | 221% |
| Usable Contracted [320409] | $662 | 241% |
| Aither Health Contracted [320449] | $738 | 268% |
| Edison Health Solutions Contracted [320502] | $738 | 268% |
| Mercy Benefit Admin Contracted [320251] | $738 - $1,266 | 268% |
| Qual Choice Contracted [320324] | $844 | 307% |
| 90 Degree Benefits Contracted [320436] | $1,055 | 383% |
| Show-Me Health Administrators Contracted [320483] | $1,055 | 383% |
| Auxiant Contracted [320462] | $1,266 - $1,371 | 460% |
| Ebms Contracted [320493] | $1,266 | 460% |
| Healthlink Contracted [320179] | $1,266 - $1,371 | 460% |
| Imagine 360 Contracted [320494] | $1,266 | 460% |
| Municipal Health Plan Contracted [320271] | $1,266 | 460% |
| Reflect Health Contracted [320492] | $1,266 | 460% |
| Arkansas Total Care Contracted [320039] | $1,280 | 465% |
| Arkansas Total Care [20039] | $1,280 | 465% |
| Insurance System Inc Contracted [320465] | $1,371 | 498% |
| Personify Health Contracted [320051] | $1,371 | 498% |
| Preferred Health Plan Contracted [320522] | $1,371 | 498% |
| Workers Comp [20426] | $1,371 | 498% |
| PPO Plus Contracted [320310] | $1,582 | 575% |
| Employers Health Coalition Contracted [320116] | $1,656 | 602% |
| Private Health Care Systems Contracted [320320] | $1,688 | 613% |
| Private Health Care Systems [20320] | $1,688 | 613% |
| Multiplan Contracted [320270] | $1,793 | 652% |
| Multiplan [20270] | $1,793 | 652% |