CMS Price Transparency Data

Rabies immune globulin

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 90375 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$395

about 1.4× the $275 Medicare rate · typically $277–$1,198

modeled estimate · not a bill or quote

What this hospital charges insurers

$345

Below the fair price — a good deal

about $50 under the fair price · 1.3× Medicare

Medicare pays $275 Fair price $395 This hospital $345 Cash price $481 Hospital's list price $1,571

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 6 of 8 other NH hospitals charge more for the same procedure.

Cheapest $298 Priciest $554

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a Rabies immune globulin is about $395 (about 1.4× the $275 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $345, or about $481 in cash — below the fair price — a good deal. Located in Lebanon, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$280 - $6,031	102%
Blue Cross Blue Shieldmajor	$186 - $6,844	68%
Aetnamajor	$267 - $6,833	97%
Cignamajor	$288 - $5,387	105%
Ambetter (Centene)	$294 - $920	107%
AmeriHealth	$89 - $890	32%
Harvard Pilgrim	$182 - $5,038	66%
MVP Health Care	$280 - $5,262	102%
Tufts Health Plan	$335 - $4,582	122%
WellCare	$291	106%
WellSense	$96 - $959	35%
+ 7 smaller / regional plans	$96 - $7,461

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 481), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90375.

Insurance Before you use insurance

Call your insurance company to confirm Mary Hitchcock Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90375.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mary Hitchcock Memorial Hospital

Compare: Rabies immune globulin at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.