CMS Price Transparency Data

Care planning with family

Facility: Dukes Memorial Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $102
Cash Discount Price: $119
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Dukes Memorial Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 275 W 12Th St, Peru, IN.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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
Department Of Veterans Affairs	$42	N/A
Tricare	$42	N/A
Blue Cross Blue Shield	$45 - $73	N/A
Humana	$45	N/A
Iu Health Plan	$45	N/A
Managed Health Services	$45 - $91	N/A
Medicare (plans)	$45	N/A
Node Va	$45 - $110	N/A
UnitedHealthcare	$45 - $112	N/A
Aetna	$46 - $108	N/A
Node Devoted Health Mcr Adv	$46	N/A
In Dept Of Correction	$47	N/A
Miami County Sheriffs Department	$47	N/A
Node Pphp Mcr Adv	$48	N/A
One Call Wc	$61	N/A
Lutheran Advanced Network	$68	N/A
Lutheran Three Rivers Preferred Plus 150	$68	N/A
Node Lutheran Preferred Fixed 2	$68	N/A
Lutheran Preferred	$72 - $182	N/A
Align Network	$73	N/A
Lutheran Three Rivers Preferred Plus 175	$79	N/A
Veterans Eval Services	$79	N/A
Encore Work Comp In	$82	N/A
Prime Health Services	$82 - $170	N/A
Partners Direct Health Llc	$86	N/A
Lutheran Northwest Health Preferred	$91	N/A
Physicians Health Plan	$91 - $106	N/A
Three Rivers Preferred Plus	$91	N/A
Work Comp	$91	N/A
Cigna	$96 - $227	N/A
Three Rivers Preferred	$102	N/A
Php Freedom	$105	N/A
Us Department Of Labor	$106	N/A
Encore Kba Epo	$109	N/A
Amish Aid	$114	N/A
Encore Ppo	$114	N/A
Self Pay	$114 - $125	N/A
Sagamore Health Network	$126	N/A
Encore Kba Ppo	$136	N/A
Consumer Life	$141	N/A
First Health	$182	N/A
Multiplan	$184	N/A
Encore Health Network	$186	N/A
Advantage Health Solutions	$188	N/A
Encore	$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 $119.
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 Dukes 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.