CMS Price Transparency Data

Rabies immune globulin

Facility: Southcoast Hospitals Group

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $882
Cash Discount Price: $2,331
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Southcoast Hospitals Group is $882. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,331. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 3.21x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$2,331

Average discount available for prompt cash payment at this facility.

Insurance Median

$882

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: $2,331 (847%)

Insurance Median: $882 (321%)

Cash: $2,331 (847% of Medicare)

Ins. Median: $882 (321% 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 321% of the Medicare baseline (a markup of 221%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$266 - $523	97%
Aetna	$280 - $5,914	102%
Evercare [1010304]	$280	102%
Harvard Pilgrim [1010602]	$280	102%
Medicare (plans)	$280 - $1,915	102%
Tufts Senior Care Options [1010315]	$280	102%
UnitedHealthcare	$280 - $440	102%
Wellsense Health Plan Senior Care Options [1020208	$283	103%
Commonwealth Care Alliance [1080501]	$288 - $291	105%
Mass General Brigham Health Plan Commercial [10122	$288	105%
Wellpoint [1000102]	$290	105%
Eternal Health [1010322]	$308	112%
Wellsense Health Plan Clarity Connectorcare & Meta	$332 - $1,661	121%
Fallon [1000114]	$392	142%
Tufts Health Public Plans [1010213]	$412 - $1,897	150%
Tufts [1010701]	$650 - $3,248	236%
Mass General Brigham Health Plan Connectorcare [10	$876 - $4,378	318%
Cigna	$882	321%
Group Insurance Service Center [1013001]	$933 - $4,663	339%
Innovative Health Plan [1025001]	$933 - $4,663	339%
Priority Health [1015001]	$933 - $4,663	339%
PHCS [1000125]	$1,010 - $5,051	367%
First Health [1000130]	$1,183 - $5,914	430%
Wellsense Health Plan [1010202]	$1,650	600%

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 $2,331.
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 Southcoast Hospitals Group 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.