CMS Price Transparency Data

Care planning with family

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $231
Cash Discount Price: $172
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Saint Alphonsus Regional Medical Center is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

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
Medicaid / KanCare	$48 - $114	N/A
Ada County Jail Inmate Ins	$80	N/A
Centurion Of Idaho	$80	N/A
Id County Ada	$80	N/A
Id County Canyon	$80	N/A
Id County Cat Fund	$80	N/A
Id County Payette	$80	N/A
Idaho Dept Health And Wellfare	$80	N/A
Trillium Community Ohp	$114	N/A
Selecthealth	$158 - $238	N/A
Mountain Health Co-Op	$159	N/A
Blue Cross Blue Shield	$170 - $188	N/A
Bcn Domestic	$188	N/A
Blue Benefit Administrators Of Massachusetts	$188	N/A
Blue Care Network	$188	N/A
Blue Distinction Transplant	$188	N/A
Blue Shield - Ca	$188	N/A
Blue Shield - Ny Highmark Northeastern	$188	N/A
Blue Shield - Ny Highmark Western	$188	N/A
Blue Shield - Pa (Highmark)	$188	N/A
Blue Shield - Wa (Regence)	$188	N/A
Health Choices	$188	N/A
Kaiser Domestic	$188	N/A
Pre-Employment	$188	N/A
Wc Domestic	$188	N/A
Columbia Health Network	$193	N/A
Pacificsource Health Plans	$193	N/A
Allegiance	$196	N/A
Employee Benefit Management	$225	N/A
First Choice Health	$225	N/A
Providence	$225 - $231	N/A
Webtpa	$225	N/A
Cigna	$231	N/A
Priority Health	$231	N/A
Allied National Global Care	$238	N/A
Asrm - Reliance Standard Life Insurance	$238	N/A
Christian Care Ministry	$238	N/A
Dean Health	$238	N/A
Fallon Health	$238	N/A
Family Life Insurance Company	$238	N/A
First Health	$238	N/A
Ghc Scw	$238	N/A
Healthnet	$238	N/A
International Benefit Administrators	$238	N/A
Lifetime Benefit Solutions	$238	N/A
Manhattan Life	$238	N/A
Medi Share	$238	N/A
Moda Health	$238	N/A
Pai	$238	N/A
Pan-American Life	$238	N/A
Paramount Hmo	$238	N/A
Phcs	$238	N/A
Trinity Health Share	$238	N/A
Aetna	$243	N/A
Allied Benefit Systems	$243	N/A
Ameriben	$243	N/A
Asr Health Benefits	$243	N/A
Boon Chapman	$243	N/A
Christian Brother Services	$243	N/A
Geha	$243	N/A
Healthez	$243	N/A
Luminare Health (Detroit)	$243	N/A
Meritain	$243	N/A
Rural Carrier Health Benefit Plan	$243	N/A
Humana	$265	N/A
UnitedHealthcare	$265	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 $172.
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 Saint Alphonsus Regional 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.