CMS Price Transparency Data

Rabies immune globulin

Facility: Princeton Community Hospital Assn Inc

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $294
Cash Discount Price: $4,799
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Princeton Community Hospital Assn Inc is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,799. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 1.07x the Medicare baseline. Located in 122 12Th Street, Princeton, WV.

Cash / Self-Pay

$4,799

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $4,799 (1744%)

Insurance Median: $294 (107%)

Cash: $4,799 (1744% of Medicare)

Ins. Median: $294 (107% 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.

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
Medicare (plans)	$280 - $297	102%
Blue Cross Blue Shield	$280 - $1,511	102%
Aetna	$294	107%
Humana	$294	107%
UnitedHealthcare	$305 - $478	111%

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 $4,799.
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 Princeton Community Hospital Assn Inc 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.