CMS Price Transparency Data

Care planning with family

Facility: St. Catherine Hospital - Garden City

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $89
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at St. Catherine Hospital - Garden City is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 401 East Spruce, Garden City, KS.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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

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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
UnitedHealthcare	$88 - $89	N/A
Medicare (plans)	$89	N/A
Aetna	$89	N/A
Innovage	$89	N/A
Blue Cross Blue Shield	$89	N/A
Devoted Health	$89	N/A
Cigna	$89	N/A
Kaiser	$89	N/A
Humana	$89	N/A
Kansas Health	$89	N/A

Consumer Guidance & Cost Commentary

For the CPT code 90887, "Care planning with family," St. Catherine Hospital - Garden City has a median negotiated rate of $89.00 across ten payers, including UnitedHealthcare, Medicare, and Aetna. This rate is consistent across most commercial plans, though Kaiser displays an internal rate that does not reflect typical negotiated pricing. While the data does not provide a specific county or state average for this procedure, the facility is located in Garden City, KS, and operates as a voluntary non-profit acute care hospital. Patients should be aware that commercial negotiated rates often include administrative overhead and contract dynamics that can make them higher than the actual cost of care, which is why comparing these rates to the Medicare benchmark is a critical step in understanding true value.

Although cash and median paid amounts are not listed in the current data, patients with high-deductible plans may find that paying cash directly could result in lower out-of-pocket costs if the facility offers a self-pay or prompt-pay discount. It is essential to contact the hospital before scheduling to request a self-pay classification and inquire about prompt-pay discounts, which can range from 20% to 50% off the billed amount. Additionally, because the No Surprises Act prohibits balance billing for out-of-network providers at in-network facilities, patients should verify that all ancillary services, such as laboratory tests or emergency physician visits, are covered under the facility's network agreements to avoid unexpected charges.

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 $X.
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 St. Catherine Hospital - Garden City 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.