CMS Price Transparency Data

Rabies immune globulin

Facility: Nemours Children's Hospital, Delaware

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $1,090
  • Cash Discount Price: $1,913
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Nemours Children's Hospital, Delaware is $1,090. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,913. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 3.96x the Medicare baseline. Located in 1600 Rockland Rd Po Box 269, Wilmington, DE.
Cash / Self-Pay
$1,913

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,090

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: $1,913 (695%)
Insurance Median: $1,090 (396%)
Cash: $1,913 (695% of Medicare)
Ins. Median: $1,090 (396% 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 396% of the Medicare baseline (a markup of 296%). 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
Tricare $278 101%
UPMC $308 - $758 112%
Us Family Health Plan $313 114%
Keystone First Hlth Plan $382 - $846 139%
UnitedHealthcare $623 - $1,194 226%
Celtic Transplant for De First Health $670 243%
Wellpoint Maryland $708 257%
Kidz Partners $724 263%
Health Partners $742 270%
Fidelis $765 278%
Aetna $811 - $1,110 295%
Blue Cross Blue Shield $839 - $1,689 305%
Priority Partners John Hopkins $938 341%
Six Degrees Health Transplant $956 347%
Great West-One Health Plan $1,052 - $1,205 382%
Cigna $1,052 - $1,205 382%
Amerihealth Caritas Delaware $1,090 396%
Ambetter / Centene $1,090 396%
Geisinger Health Plan $1,148 417%
Integra Administrative Group $1,148 417%
National Transplant Network (Ntn) $1,243 452%
Star Healthcare Network $1,243 452%
Six Degrees Health $1,243 452%
Life Trac Solid Organ and Bmt Transplant $1,339 487%
Carefirst Md Community Health Plan $1,446 525%
Private Healthcare Systems $1,817 660%
Interlink Transplant Network $1,817 660%
Three Rivers Provider Network $1,817 660%
Multiplan $1,817 660%
Preferred Healthcare $1,817 660%
Insurance Administrators of America $1,817 660%
First Health Network $1,817 660%
Celtic Transplant $1,913 695%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens