CMS Price Transparency Data

Rabies immune globulin

Facility: Good Samaritan Hospital of Suffern

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $911
  • Cash Discount Price: $3,038
  • vs. Medicare Baseline: 3.31x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Good Samaritan Hospital of Suffern is $911. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,038. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 3.31x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.
Cash / Self-Pay
$3,038

Average discount available for prompt cash payment at this facility.

Insurance Median
$911

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: $3,038 (1104%)
Insurance Median: $911 (331%)
Cash: $3,038 (1104% of Medicare)
Ins. Median: $911 (331% 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 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Mvp Gold (McR) $275 100%
Medicare (plans) $275 - $4,806 100%
Affinity By Molina McR $289 105%
Beacon Exchange $330 120%
Beacon Commercial $358 130%
UnitedHealthcare $472 - $4,240 172%
Emblem Ghi/Hip Hmo/Epo/Pos $472 - $4,240 172%
Emblem Ghi/Hip PPO $472 - $4,240 172%
Mvp Hmo/Ppo $472 - $4,240 172%
Aetna $472 - $4,240 172%
Self-Pay - Cc 30% $472 - $4,240 172%
Blue Cross Blue Shield $472 - $4,240 172%
Emblem Select Care (Exchange) $472 - $4,240 172%
Cigna $472 - $4,240 172%
Magnacare Standard $472 - $4,240 172%
Mvp Exchange $472 - $4,240 172%
Self-Pay $472 - $4,240 172%
Oxford Exchange $472 - $4,240 172%
Oxford Commercial $472 - $4,240 172%
Self-Pay - Cc 50% $786 - $7,068 286%
Cdphp $786 - $7,068 286%
Geisinger Health Commercial/Exchange $908 330%
PHCS $1,100 - $9,894 400%
First Health $1,179 - $10,601 428%
Multiplan $1,179 - $10,601 428%
Magnacare Preferred $1,415 - $12,722 514%
Tricare $1,572 - $14,135 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 Lafayette Avenue, Suffern, NY 10901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals