CMS Price Transparency Data

Rabies immune globulin

Facility: Fort Memorial Hospital

Billing Code: 90375 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$307

about 1.1× the $275 Medicare rate · typically $275–$525

modeled estimate · not a bill or quote

What this hospital charges insurers

$306

About the fair price

about $1 under the fair price · 1.1× Medicare

Medicare pays $275 Fair price $307 This hospital $306

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $147 Priciest $306

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

A fair price for a Rabies immune globulin is about $307 (about 1.1× the $275 Medicare rate). Fort Memorial Hospital charges insurers about $306 — about the fair price. Located in Fort Atkinson, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$257 - $525	93%
Blue Cross Blue Shieldmajor	$257 - $514	93%
Humanamajor	$257 - $288	93%
Dean Health Plan	$257 - $514	93%
Molina	$257	93%
Quartz	$257 - $514	93%
+ 5 smaller / regional plans	$360 - $786

Government programs also on file: Medicare, Medicaid.

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, 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 Fort Memorial Hospital 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 Fort Memorial Hospital

Compare: Rabies immune globulin at other WI hospitals

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