CMS Price Transparency Data

Rabies immune globulin

Facility: Cheshire Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $624
Cash Discount Price: $434
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Cheshire Medical Center is $624. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $434. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 2.27x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$434

Average discount available for prompt cash payment at this facility.

Insurance Median

$624

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: $434 (158%)

Insurance Median: $624 (227%)

Cash: $434 (158% of Medicare)

Ins. Median: $624 (227% 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 227% of the Medicare baseline (a markup of 127%). 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
Amerihealth Caritas Nh	$96 - $961	35%
Wellsense Health Plan	$108 - $1,082	39%
Granite State Health Plan	$131 - $1,312	48%
Harvard Pilgrim Health Care of Ne	$167 - $3,571	61%
Mass General Brigham Health Plan	$254 - $7,853	92%
UnitedHealthcare	$266 - $5,961	97%
Blue Cross Blue Shield	$266 - $6,239	97%
Martin's Point Health Care	$267 - $290	97%
Cigna	$274 - $3,887	100%
Aetna	$274 - $5,372	100%
Mvp	$274 - $3,887	100%
Martin's Point Generations Advantage	$280 - $298	102%
Wellcare Health Plans	$280 - $298	102%
Ambetter / Centene	$280 - $298	102%
Tufts Health Plan	$335 - $5,013	122%
Maine Community Health Options	$353 - $3,534	128%
First Health/Hcvm	$668 - $6,675	243%
PHCS	$707 - $7,068	257%

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 $434.
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 Cheshire Medical Center 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.