CMS Price Transparency Data

Care planning with family

Facility: Centura St. Catherine-Dodge 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 Centura St. Catherine-Dodge 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 3001 Avenue A, Dodge 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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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $89 N/A
Cigna $89 N/A
Kansas Health $89 N/A
Medicare (plans) $89 N/A
Aetna $89 N/A
Kaiser $89 N/A
Humana $89 N/A

Consumer Guidance & Cost Commentary

For CPT code 90887, "Care planning with family," the facility in Dodge City, KS, has a single negotiated rate of $89 across all major payers, including Blue Cross Blue Shield, Cigna, and Medicare. This rate is consistent across all seven payers listed, with no variation based on plan type or network tier. While the data does not provide a specific cash or self-pay price for this service, patients should verify if the facility offers a "prompt-pay" discount for upfront payment, which can sometimes result in a lower total cost than the insurance negotiated rate, particularly if the patient has a high deductible. It is also important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no unexpected charges are included.

The facility's pricing structure reflects a uniform contract approach, with no significant differences between commercial insurers or Medicare plans for this specific procedure. Since the data does not include state or county average comparisons for this code, patients cannot currently determine if this rate is above or below the regional norm. However, the consistency of the $89 rate across all payers suggests a stable pricing model rather than one driven by competitive market fluctuations or varying network tiers. Consumers are advised to confirm their specific deductible status before scheduling, as the negotiated rate may only apply after the plan's annual maximum has been met, and to always request a written waiver of insurance submission if they intend to pay cash to avoid automatic claims processing.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3001 Avenue A, Dodge City, KS 67801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals