CMS Price Transparency Data

Rabies immune globulin

Facility: Kootenai Health

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $488
Cash Discount Price: $541
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Kootenai Health is $488. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $541. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 1.77x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$541

Average discount available for prompt cash payment at this facility.

Insurance Median

$488

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: $541 (197%)

Insurance Median: $488 (177%)

Cash: $541 (197% of Medicare)

Ins. Median: $488 (177% 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
Molina Healthcare of Idaho	$139 - $381	51%
Magellan	$242 - $272	88%
Wellpoint	$242 - $272	88%
Premera	$280 - $637	102%
Humana	$280	102%
Regence Blue Shield of Idaho	$280 - $317	102%
UnitedHealthcare	$280 - $927	102%
Pacificsource	$283 - $448	103%
Blue Cross Blue Shield	$283 - $927	103%
Aetna	$290 - $855	105%
Mountain Health Co-Op	$415 - $798	151%
Cigna	$438 - $856	159%
Interwest Health	$455 - $876	165%
First Choice Health (Ameriben)	$456 - $892	166%
Group Health/Kaiser	$1,008	366%

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 $541.
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 Kootenai Health 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.