CMS Price Transparency Data

Care planning with family

Facility: Fhn Memorial Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $169
Cash Discount Price: $171
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Fhn Memorial Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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
Aetna	$119	N/A
The Alliance - All Plans	$128	N/A
Ecoh Nihp	$135	N/A
Nihp Employ - All Plans	$135	N/A
Quartz - All Other Plans	$139	N/A
Blue Cross Blue Shield	$144	N/A
Ecoh - All Other Plans	$146	N/A
Meridian Health Plan - All Plans	$146	N/A
Northern Il Hp - All Plans	$148	N/A
First Health - All Plans	$150	N/A
UnitedHealthcare	$167	N/A
Humana	$169	N/A
Hfn - All Plans	$175	N/A
First Choice Il - All Plans	$182	N/A
Multiplan Phcs - All Plans	$182	N/A
Wps - All Plans	$187	N/A
Galaxy - All Plans	$193	N/A
Health Alliance - All Other Plans	$193	N/A
Interplan Health - All Plans	$193	N/A
Preferred Plan Ppo - All Plans	$193	N/A
Trustmark - All Plans	$197	N/A
Midland Choice - All Plans	$203	N/A
Osf Healthplans - All Plans	$214	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 $171.
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 Fhn Memorial Hospital 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.