CMS Price Transparency Data

Care planning with family

Facility: Mt Sinai Hospital Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $153
Cash Discount Price: $134
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Mt Sinai Hospital Medical Center is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 15Th Street at California, Chicago, IL.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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
Partners In Hlth - All Plans	$63 - $90	N/A
Blue Cross Blue Shield	$70 - $258	N/A
Cigna	$89 - $279	N/A
Compsych Ip/Op Only - All Plans	$95 - $136	N/A
Healthlink Hmo	$102 - $147	N/A
Hfn Platinum	$102 - $147	N/A
Healthlink Ppo - All Other Plans	$110 - $158	N/A
Multiplan Primary Ntwrk/Phcs - All Other Plans	$110 - $158	N/A
Hfn Epo	$126 - $181	N/A
Multiplan Complementary Ntwrk	$126 - $181	N/A
Hfn Ppo - All Other Plans	$139 - $199	N/A
Ambetter / Centene	$165 - $237	N/A
Oscar - All Plans	$173 - $249	N/A
Aetna	$258 - $511	N/A
Family Health Network Mcaid - All Plans	$258	N/A
Molina Mcaid	$271	N/A
Humana	$495 - $710	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 $134.
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 Mt Sinai Hospital 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.