CMS Price Transparency Data

Rabies immune globulin

Facility: Valley County Health System

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,614
Cash Discount Price: $3,374
vs. Medicare Baseline: 5.87x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Valley County Health System is $1,614. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,374. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 5.87x the Medicare baseline. Located in 2707 L Street, Ord, NE.

Cash / Self-Pay

$3,374

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,614

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: $3,374 (1226%)

Insurance Median: $1,614 (587%)

Cash: $3,374 (1226% of Medicare)

Ins. Median: $1,614 (587% 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 587% of the Medicare baseline (a markup of 487%). 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
Great Plains	$292 - $1,225	106%
Medica	$292 - $5,880	106%
Blue Cross Blue Shield	$292 - $5,880	106%
UnitedHealthcare	$292 - $2,940	106%
Humana	$297 - $1,250	108%
Nebraska Total Care	$700 - $3,369	254%
Molina	$751 - $3,216	273%
Wellcare	$796 - $3,344	289%
Aetna	$1,400 - $5,880	509%
Multiplan/Phcs	$1,429 - $6,002	519%

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 $3,374.
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 Valley County Health System 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.