CMS Price Transparency Data

Rabies immune globulin

Facility: Mountain West Medical Center

Billing Code: 90375 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$410

about 1.5× the $275 Medicare rate · typically $279–$749

modeled estimate · not a bill or quote

What this hospital charges insurers

$280

Below the fair price — a good deal

about $130 under the fair price · 1.0× Medicare

Medicare pays $275 Fair price $410 This hospital $280 Cash price $506 Hospital's list price $843

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $278 Priciest $280

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

A fair price for a Rabies immune globulin is about $410 (about 1.5× the $275 Medicare rate). Mountain West Medical Center charges insurers about $280, or about $506 in cash — below the fair price — a good deal. Located in Tooele, UT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$621 - $677	226%
Blue Cross Blue Shieldmajor	$280 - $302	102%
Aetnamajor	$605 - $660	220%
Cignamajor	$572 - $624	208%
Humanamajor	$686 - $748	249%
SelectHealth	$280 - $660	102%
+ 5 smaller / regional plans	$524 - $748

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 506), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90375.

Insurance Before you use insurance

Call your insurance company to confirm Mountain West Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90375.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mountain West Medical Center

Compare: Rabies immune globulin at other UT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.