CMS Price Transparency Data

Rabies immune globulin

Facility: Adirondack Medical Center - Saranac Lake

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $2,087
Cash Discount Price: $3,010
vs. Medicare Baseline: 7.58x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Adirondack Medical Center - Saranac Lake is $2,087. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,010. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 7.58x the Medicare baseline. Located in 2233 State Route 86, Po Box 471, Saranac Lake, NY.

Cash / Self-Pay

$3,010

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,087

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: $3,010 (1094%)

Insurance Median: $2,087 (758%)

Cash: $3,010 (1094% of Medicare)

Ins. Median: $2,087 (758% 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 758% of the Medicare baseline (a markup of 658%). 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
Medicare (plans)	$529 - $2,938	192%
Aetna	$588 - $2,938	214%
Blue Cross Blue Shield	$588 - $7,644	214%
Capital District Physicians Health Plan Cdphp	$588 - $2,938	214%
Capital District Physicians Health Plan McR Adv	$588 - $2,938	214%
Wellcare Health Plan Inc McR Adv	$599 - $2,997	218%
Tricare	$673 - $3,366	245%
Cigna	$1,199 - $5,793	436%
Mvp Healthplan of Ny	$1,199 - $5,793	436%

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 $3,010.
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 Adirondack Medical Center - Saranac Lake 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.