CMS Price Transparency Data

Rabies immune globulin

Facility: Door County Medical Center

Billing Code: 90375 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$464

about 1.7× the $275 Medicare rate · typically $282–$2,204

modeled estimate · not a bill or quote

What this hospital charges insurers

$238

Below the fair price — a good deal

about $226 under the fair price · 0.9× Medicare

Medicare pays $275 Fair price $464 This hospital $238 Cash price $1,241 Hospital's list price $1,655

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $147 Priciest $280

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Rabies immune globulin is about $464 (about 1.7× the $275 Medicare rate). Door County Medical Center charges insurers about $238, or about $1,241 in cash — below the fair price — a good deal. Located in Sturgeon Bay, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$238 - $471	86%
Blue Cross Blue Shieldmajor	$1,457	529%
Aetnamajor	$616 - $1,490	224%
Cignamajor	$1,407	511%
+ 2 smaller / regional plans	$844 - $1,357

Government programs also on file: Medicare.

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 1,241), 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 Door County 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 Door County Medical Center

Compare: Rabies immune globulin at other WI hospitals

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