CMS Price Transparency Data

Care planning with family

Facility: Kosciusko Community Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $134
Cash Discount Price: $68
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Kosciusko Community Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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
Amish Aid	$48	N/A
Self Pay	$48 - $89	N/A
One Call Care Diagnostics Wc	$61	N/A
Lutheran Preferred Network	$72 - $182	N/A
Veterans Eval Services	$79	N/A
Physicians Health Plan	$84 - $105	N/A
Php Freedom Network	$88	N/A
UnitedHealthcare	$89 - $114	N/A
Encore	$91	N/A
Trma Inc	$91 - $102	N/A
Aetna	$93 - $121	N/A
Connecticut General Life Insurance Company	$134	N/A
Cigna	$143	N/A
First Health Network	$170	N/A
Prime Health Services	$170	N/A
Advantage Health	$188	N/A
Private Healthcare Systems	$195	N/A
Sagamore	$200 - $213	N/A
Encore Health Network	$211	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 $68.
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 Kosciusko Community 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.