CMS Price Transparency Data

Care planning with family

Facility: Adventist Health Reedley

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $140
Cash Discount Price: $27
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Adventist Health Reedley is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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
Dignity Mcr Adv Op/Profee Only	$2	N/A
Upn Mcr Adv Profee Only	$42	N/A
Aetna	$79	N/A
Cigna	$86	N/A
Ah Employee Health Plan - All Plans	$98	N/A
UnitedHealthcare	$98	N/A
Physicians Med Group Op/Profee Only- All Plans	$112	N/A
Western Growers/Pinnacle- All Plans	$112	N/A
Bc Mcal	$140	N/A
Cal Viva Hlth Mcal - All Plans	$140	N/A
Central Ca Alliance Mcal Profee Only	$140	N/A
Dignity Mcal Op/Profee Only-All Other Plans	$140	N/A
Medi-Cal	$140	N/A
Upn Mcal Profee Only-All Other Plans	$140	N/A
Blue Shield Epn - All Other Plans	$152	N/A
Blue Cross Blue Shield	$153	N/A
Blue Shield Non Epn	$161	N/A
Kern Health Systems Mcal-All Plans	$175	N/A
Central Ca Alliance Ccs Profee Only	$210	N/A
Central Ca Alliance Comm Profee Only - All Other P	$210	N/A
Central Ca Alliance Chdp Profee Only	$280	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 $27.
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 Adventist Health Reedley 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.