CMS Price Transparency Data

Rabies immune globulin

Facility: Lewisgale Medical Center

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,429
Cash Discount Price: $2,013
vs. Medicare Baseline: 5.19x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Lewisgale Medical Center is $1,429. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,013. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 5.19x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$2,013

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,429

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: $2,013 (732%)

Insurance Median: $1,429 (519%)

Cash: $2,013 (732% of Medicare)

Ins. Median: $1,429 (519% 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 519% of the Medicare baseline (a markup of 419%). 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
Triatlantic	$246	89%
Health Net	$261	95%
Humana	$281	102%
Cigna	$350 - $886	127%
Virginia Health Network	$705 - $1,429	256%
United	$735 - $906	267%
Naphcare	$1,006	366%
Greenvbrier Sporting Club	$1,208	439%
Graham-White Manufacturing	$1,409	512%
Richfield Nursing Center	$1,409	512%
Corvel	$1,449	527%
Richfield Retirement Community	$1,510	549%
Community Care Network	$1,510	549%
Csx Hotels	$1,610	585%
One Health Plan	$1,610	585%
Occunet Workers Comp	$1,610	585%
Patients Choice	$1,771	644%
PHCS	$1,812	658%
American Postal Workers Union	$1,812	658%
Star Transportation	$1,812	658%
4Most	$1,812	658%
Alleghany Highland Community	$1,812	658%
C&O Employees Hospital Assn	$1,812	658%
Multiplan	$1,812	658%

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 $2,013.
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 Lewisgale Medical Center 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.