CMS Price Transparency Data

Care planning with family

Facility: St Luke's Wood River Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $107
Cash Discount Price: $119
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at St Luke's Wood River Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 100 Hospital Drive, Ketchum, ID.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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
Commercial [1028]	$68 - $115	N/A
Medicare (plans)	$68 - $69	N/A
Veterans Affairs [1056]	$68	N/A
Blue Cross Blue Shield	$69 - $102	N/A
UnitedHealthcare	$71 - $108	N/A
Aetna	$75 - $113	N/A
Moda [1055]	$105	N/A
Geha [1065]	$108	N/A
United Medical Resources [1051]	$108	N/A
Cigna	$111	N/A
Providence [1022]	$111	N/A
Pacificsource [1020]	$112	N/A
First Health [1064]	$113 - $115	N/A
Webtpa [1071]	$113	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 $119.
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 St Luke's Wood River 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.