CMS Price Transparency Data

Rabies immune globulin

Facility: St Lukes Regional Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $271
Cash Discount Price: $509
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at St Lukes Regional Medical Center is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $509. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 0.98x the Medicare baseline. Located in 2720 Stone Park Boulevard, Sioux City, IA.

Cash / Self-Pay

$509

Average discount available for prompt cash payment at this facility.

Insurance Median

$271

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: $509 (185%)

Insurance Median: $271 (98%)

Cash: $509 (185% of Medicare)

Ins. Median: $271 (98% 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.

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
Nebraska Total Care	$52 - $180	19%
Health Partners Open Network	$78 - $379	28%
Medica Exchange Inspire	$102 - $357	37%
Medica Exchange Insure	$115 - $400	42%
Cigna	$125 - $435	45%
Avera Health Plan	$129 - $449	47%
Molina	$272	99%
Aetna	$272 - $435	99%
Blue Cross Blue Shield	$272 - $290	99%
Amerivantage	$280	102%
UnitedHealthcare	$280 - $326	102%
Humana	$280	102%
Wellmark Uph Self-Funded	$290	105%

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 $509.
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 St Lukes Regional Medical Center 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.