CMS Price Transparency Data

Rabies immune globulin

Facility: St Joseph's Hospital

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $1,207
  • Cash Discount Price: $1,176
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at St Joseph's Hospital is $1,207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,176. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 4.39x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$1,176

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,207

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: $1,176 (427%)
Insurance Median: $1,207 (439%)
Cash: $1,176 (427% of Medicare)
Ins. Median: $1,207 (439% 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 439% of the Medicare baseline (a markup of 339%). 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 $327 - $1,142 119%
Molina Healthcare $327 - $1,633 119%
Humana $327 119%
Clear Spring Health of Illinois $327 119%
Blue Cross Blue Shield $327 119%
Sae Hospice $327 119%
UnitedHealthcare $327 - $1,633 119%
Amish Community $457 166%
Caterpillar, Inc. $462 168%
Naphcare $686 249%
Celtic Insurance Company $719 261%
Hopetrust $817 297%
Claim Doc $817 297%
Cigna $860 313%
Wellfirst $1,046 380%
First Health $1,207 439%
Multiplan/Phcs $1,388 504%
Healthlink $1,388 504%
Provider Network of America $1,470 534%
Healthcare Finest Network (Hfn) $1,470 534%
Healthscope $1,633 593%
Qtc Medical Group of Illinois $1,633 593%
Current Health Solutions $1,633 593%
Interplan $1,633 593%
Illinois Breast and Cervical Cancer Program $1,633 593%
Mental Health Network $1,633 593%
Consociate Group $1,633 593%
Health Alliance Medical Plans $1,633 593%
Meridian Health Plan $2,665 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals