CMS Price Transparency Data

Rabies immune globulin

Facility: UPMC Kane

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,286
Cash Discount Price: $2,894
vs. Medicare Baseline: 4.67x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at UPMC Kane is $1,286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,894. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 4.67x the Medicare baseline. Located in 4372 Route 6, Kane, PA.

Cash / Self-Pay

$2,894

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,286

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: $2,894 (1052%)

Insurance Median: $1,286 (467%)

Cash: $2,894 (1052% of Medicare)

Ins. Median: $1,286 (467% 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 467% of the Medicare baseline (a markup of 367%). 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
Highmark Wholecare (Prev Gateway)	$280 - $3,059	102%
PA Health & Wellness	$280	102%
UPMC Health Plan	$344 - $3,510	125%
Blue Cross Blue Shield	$382 - $2,975	139%
UnitedHealthcare	$463 - $3,272	168%
Aetna	$619 - $3,094	225%
Amerihealth Caritas	$643 - $3,213	234%
UPMC Work Partners	$853 - $4,266	310%
Focus Healthcare	$942 - $7,638	342%
Horizon Health Plan	$1,126 - $5,628	409%
Cigna	$1,126 - $180,996	409%
Multiplan	$1,206 - $6,030	438%
Health Coalition Partners	$1,286 - $6,432	467%
Intergroup	$1,286 - $6,432	467%

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 $2,894.
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 UPMC Kane 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.