CMS Price Transparency Data

Rabies immune globulin

Facility: Harmon Memorial Hospital

Billing Code: 90375 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$482
about 1.8× the $275 Medicare rate · typically $191–$1,732
modeled estimate · not a bill or quote
Medicare pays $275 Fair price $482 Cash price $1,104 Hospital's list price $1,104

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $84 31%
Aetnamajor $784 - $883 285%
Humanamajor $784 285%
+ 1 smaller / regional plan $784 - $938
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 400 East Chestnut Street, Hollis, OK 73550
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals