CMS Price Transparency Data

Care planning with family

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $332
Cash Discount Price: $291
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Ann & Robert H Lurie Childrens Hospital of Chicago is $332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.

Cash / Self-Pay

$291

Average discount available for prompt cash payment at this facility.

Insurance Median

$332

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
Medicare (plans)	$71 - $2,656	N/A
Aetna	$72 - $220	N/A
Mercycare Health	$154	N/A
Cigna	$174 - $295	N/A
Blue Cross Blue Shield	$180 - $332	N/A
Beacon Health Options	$208	N/A
La Rabida Childrens Hospital	$208	N/A
Centegra	$249	N/A
Independent Physicians At Mercy	$249	N/A
Advanced Physicians Association Ipa	$290	N/A
Health Plus	$290	N/A
Imagine Health	$290	N/A
Methodist First Choice	$290	N/A
Northwest Community Healthcare	$290	N/A
Presence Health Partners	$290	N/A
St. Francis	$290	N/A
Ui Health	$290	N/A
West Suburban Health Providers	$290	N/A
Shriners Hospital	$311	N/A
Swedish Covenant Physician Partners	$311	N/A
American Psych Systems	$332	N/A
Health Alliance	$332	N/A
Macneal Health	$332	N/A
Magellan	$332 - $900	N/A
Healthlink Inc.	$342	N/A
Cofinity	$353	N/A
Hfn Inc	$353 - $374	N/A
Humana	$353	N/A
Principal Healthcare	$353	N/A
St. Elizabeth	$353	N/A
First Health	$365	N/A
Healthstar	$365	N/A
Preferred Health Network	$365	N/A
Sagamore Health Network	$365	N/A
Beech Street	$374	N/A
Benchmark Health	$374	N/A
Employer'S Coalition On Health	$374	N/A
Private Health Care System	$374	N/A
Security Health Plan	$374	N/A
Swedish American	$374	N/A
Wellmark/Healthnetwork	$382	N/A
Health Smart	$394	N/A
Integrated Health Plan	$394	N/A
Multiplan	$394	N/A
National Provider Network	$394	N/A
Wea Insurance Group	$394	N/A
UnitedHealthcare	$599 - $643	N/A
Unicare	$3,678 - $8,500	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 $291.
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 Ann & Robert H Lurie Childrens Hospital of Chicago 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.