CMS Price Transparency Data

Rabies immune globulin

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $6,298
Cash Discount Price: $2,362
vs. Medicare Baseline: 22.89x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at CHI St Lukes Health Memorial San Augustine is $6,298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,362. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 22.89x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.

Cash / Self-Pay

$2,362

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,298

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: $2,362 (858%)

Insurance Median: $6,298 (2289%)

Cash: $2,362 (858% of Medicare)

Ins. Median: $6,298 (2289% 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 2289% of the Medicare baseline (a markup of 2189%). 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
Aetna	$267 - $4,107	97%
Humana	$267 - $11,500	97%
Wellpoint	$275 - $397	100%
Cigna	$280 - $2,300	102%
Blue Cross Blue Shield	$288 - $839	105%
United	$288 - $16,429	105%
Scanhealth	$293	106%
Md Save	$334	121%
Angelina County	$722	262%
Brookshire Brothers	$805	293%
Entrust	$6,204 - $6,572	2255%
PHCS	$10,547 - $13,143	3833%
Multiplan	$10,858 - $11,500	3946%
Galaxy	$13,960 - $14,786	5073%

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 $2,362.
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 CHI St Lukes Health Memorial San Augustine 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.