CMS Price Transparency Data

Rabies immune globulin

Facility: Ascension Seton Hays

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $290
Cash Discount Price: $1,039
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Ascension Seton Hays is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,039. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 1.05x the Medicare baseline. Located in 6001 Kyle Pkwy, Kyle, TX.

Cash / Self-Pay

$1,039

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $1,039 (378%)

Insurance Median: $290 (105%)

Cash: $1,039 (378% of Medicare)

Ins. Median: $290 (105% 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.

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
Aarp Mc Wellmed	$284	103%
UnitedHealthcare	$285 - $296	104%
Tricare	$286 - $290	104%
Sendero Chap	$287	104%
Addr Cancer Together	$290	105%
Aetna	$290	105%
Covid Hrsa	$290	105%
Cshcn Cidc	$290	105%
Devoted Health McR Replacement	$290	105%
Humana	$290	105%
Medicare (plans)	$290	105%
Research Study	$290	105%
Smarthealth	$290	105%
Superior Allwell	$290	105%
UTMB	$290	105%
Wellcare Med Advantage	$290	105%
Connected Senior Care	$299	109%
Pphp McR Advantage	$304	110%
Tx Independence Hp	$304	110%
Champva	$312	113%
Occunet	$406	148%
Sendero Idealcare	$507	184%
Ambetter / Centene	$522	190%
Blue Cross Blue Shield	$1,089 - $1,358	396%

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 $1,039.
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 Ascension Seton Hays 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.