CMS Price Transparency Data

Care planning with family

Facility: Lutheran Hospital of Indiana

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $109
Cash Discount Price: $75
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Lutheran Hospital of Indiana is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.

Cash / Self-Pay

$75

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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 (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Physicians Health Plan Of Northern Indiana	$56 - $90	N/A
Ky Work Comp	$57	N/A
One Call Care Diagnostics	$61	N/A
Amish Aid	$68	N/A
Lutheran Preferred Network	$68 - $136	N/A
Self Pay	$68 - $82	N/A
Cigna	$73 - $82	N/A
Php Freedom Network	$75	N/A
Veterans Eval Services	$79	N/A
Blue Cross Blue Shield	$84	N/A
Aetna	$91 - $108	N/A
Lutheran Preferred	$91	N/A
Sagamore	$104 - $123	N/A
Encore Ppo	$111	N/A
Lutheran Network	$114	N/A
Multiplan	$166 - $188	N/A
Prime Health Services	$170	N/A
Encore Health Network	$186 - $204	N/A
Advantage Health Solutions	$188	N/A
Allied Benefit Systems	$204	N/A
Evolutions	$204	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 $75.
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 Lutheran Hospital of Indiana 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.