CMS Price Transparency Data

Care planning with family

Facility: Flagstaff Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $115
Cash Discount Price: $83
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Flagstaff Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Carefirst	$22	N/A
Mercy Care Rhba	$22	N/A
Ahcccs	$23	N/A
Ahcccs Other	$23	N/A
Fmc Jail	$23	N/A
Health Choice	$23 - $147	N/A
Health Choice Arizona	$23	N/A
Health Choice Integrated Care	$23	N/A
Health Net Of Arizona	$23	N/A
Mercy Care	$23	N/A
Nhi Out Of State Ahcccs	$23	N/A
UnitedHealthcare	$23 - $154	N/A
University Of Arizona Health Plans	$23	N/A
Devoted	$50	N/A
Pnoa	$83	N/A
Self Pay	$83 - $166	N/A
Self-Pay 50% Discount	$83	N/A
Blue Cross Blue Shield	$97 - $122	N/A
Workers Comp	$108	N/A
Copperpoint	$122	N/A
Aetna	$123 - $141	N/A
Nau Athletic Department	$133	N/A
Cigna	$150	N/A
Fmc 90/10	$150	N/A
Rural Arizona Network Multiplan	$150	N/A
Va Pccc Triwest	$150	N/A
Humana	$158	N/A
Health Net Federal	$166	N/A
United Behavioral Health	$166	N/A
Auto Insurance	$5,000	N/A

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 $83.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90887.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Flagstaff Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90887.
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.