CMS Price Transparency Data

Rabies immune globulin

Facility: Children's Hospital of Philadelphia

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $3,127
Cash Discount Price: $12,765
vs. Medicare Baseline: 11.36x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Children's Hospital of Philadelphia is $3,127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,765. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 11.36x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$12,765

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,127

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: $12,765 (4639%)

Insurance Median: $3,127 (1136%)

Cash: $12,765 (4639% of Medicare)

Ins. Median: $3,127 (1136% 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 1136% of the Medicare baseline (a markup of 1036%). 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
Geisinger Medical Assistance	$135	49%
Horizon Nj Health	$560 - $2,799	204%
Highmark Wholecare	$560 - $2,799	204%
Medicaid / KanCare	$712 - $3,501	259%
UnitedHealthcare	$716 - $11,669	260%
Health Partners	$750 - $3,690	273%
Keystone Health Plan East	$972 - $4,862	353%
Blue Cross Blue Shield	$972 - $7,489	353%
Aetna	$1,135 - $10,608	412%
UPMC Medical Assistance	$1,178 - $5,792	428%
Keystone First Chip	$1,337 - $6,577	486%
Geisinger Health Plan Commercial	$1,898 - $9,335	690%
Jefferson Health Plans	$2,040 - $10,035	741%
Cigna	$2,157 - $10,608	784%
Highmark	$2,157 - $10,608	784%
Qualcare	$2,372 - $11,669	862%
First Health Network	$2,804 - $13,791	1019%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$3,451 - $16,973	1254%
Private Health Care Systems	$3,451 - $16,973	1254%
Choice Care Network	$3,882 - $19,095	1411%

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 $12,765.
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 Children's Hospital of Philadelphia 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.