CMS Price Transparency Data

Rabies immune globulin

Facility: Saint Mary's Hospital

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $644
  • Cash Discount Price: $1,928
  • vs. Medicare Baseline: 2.34x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Saint Mary's Hospital is $644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,928. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 2.34x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$1,928

Average discount available for prompt cash payment at this facility.

Insurance Median
$644

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: $1,928 (701%)
Insurance Median: $644 (234%)
Cash: $1,928 (701% of Medicare)
Ins. Median: $644 (234% 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 234% of the Medicare baseline (a markup of 134%). 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 $274 - $642 100%
Blue Cross Blue Shield $274 - $644 100%
Medicare (plans) $274 - $286 100%
UnitedHealthcare $274 - $1,928 100%
Cca Senior Care Options $280 102%
Cigna $283 - $1,543 103%
Connecticut Dept of Correction $533 194%
Centivo $560 204%
Claimdoc $588 214%
Diversified Administrators $588 214%
Innovative Health Plan II $588 214%
1199 National Benefit Fund $642 233%
Allied Benefit Systems $642 233%
Gravie Admin Services $642 233%
Hap $642 233%
Luminare Health $642 233%
Meritain $642 233%
Nippon Life Ins $642 233%
Webtpa $642 233%
Bcn Domestic $644 234%
Blue Benefit Administrators of Massachusetts $644 234%
Blue Care Network $644 234%
Blue Distinction Transplant $644 234%
Blue Shield - Ca $644 234%
Blue Shield - Id (Regence) $644 234%
Blue Shield - Ny Highmark Northeastern $644 234%
Blue Shield - Ny Highmark Western $644 234%
Blue Shield - PA (Highmark) $644 234%
Blue Shield - Wa (Regence) $644 234%
Health Choices $644 234%
Kaiser Domestic $644 234%
Pre-Employment $644 234%
Unicare $644 234%
Wc Domestic $644 234%
Wellpoint $644 234%
Allegiance $878 319%
Health Partners $878 319%
Magnacare $878 319%
Carelon Behavioral Health $964 350%
Geha $964 350%
Harvard Pilgrim Healthcare $964 350%
Health New England $1,023 372%
Allied National Global Care $1,485 540%
Asrm - Reliance Standard Life Insurance $1,485 540%
Christian Care Ministry $1,485 540%
Dean Health $1,485 540%
Fallon Health $1,485 540%
Family Life Insurance Company $1,485 540%
Ghc Scw $1,485 540%
International Benefit Administrators $1,485 540%
Lifetime Benefit Solutions $1,485 540%
Manhattan Life $1,485 540%
Medi Share $1,485 540%
Multiplan $1,485 540%
Mvp $1,485 540%
PHCS $1,485 540%
Pai $1,485 540%
Pan-American Life $1,485 540%
Paramount HMO $1,485 540%
Trinity Health Share $1,485 540%
Prime Health Services $1,543 561%
Health Smart $1,639 596%
United Behavioral Health Eap $1,928 701%
Connecticare $2,290 - $2,365 832%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals