CMS Price Transparency Data

Rabies immune globulin

Facility: Mercy St Francis Hospital

Billing Code: 90375 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$393
about 1.4× the $275 Medicare rate · typically $286–$1,809
modeled estimate · not a bill or quote
Medicare pays $275 Fair price $393 Cash price $1,345 Hospital's list price $2,069

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $410 - $1,946 149%
Blue Cross Blue Shieldmajor $575 - $2,027 209%
Aetnamajor $575 - $1,859 209%
Cignamajor $575 - $1,985 209%
Humanamajor $575 - $1,880 209%
Ambetter (Centene) $1,063 - $1,084 386%
HealthLink $1,331 - $1,985 484%
Medica $1,936 - $1,974 704%
+ 37 smaller / regional plans $575 - $1,985
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 West Highway 60, Po Box 82, Mountain View, MO 65548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals