CMS Price Transparency Data

Rabies immune globulin

Facility: Davis County Hospital

Billing Code: 90375 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$575
about 2.1× the $275 Medicare rate · typically $280–$2,469
modeled estimate · not a bill or quote
Medicare pays $275 Fair price $575 Cash price $2,345 Hospital's list price $2,345

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $1,635 - $1,801 594%
Aetnamajor $1,172 426%
Amerigroup $1,292 - $1,463 470%
Molina $1,456 529%
+ 9 smaller / regional plans $1,266 - $2,228
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals