CMS Price Transparency Data

Care planning with family

Facility: Children'S Mercy South

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $122
Cash Discount Price: $104
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Children'S Mercy South is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 5808 W 110Th Street, Overland Park, KS.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$122

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
Cigna	$5	N/A
Medicaid / KanCare	$97	N/A
Centivo	$108	N/A
UnitedHealthcare	$112 - $164	N/A
Blue Cross Blue Shield	$122	N/A
Wppa Providrs Care	$122	N/A
Medica	$126	N/A
Mercy Health	$158	N/A
Coxhealth Network	$160	N/A
National Preferred Provider Network	$190	N/A

Consumer Guidance & Cost Commentary

For CPT code 90887, "Care planning with family," Children's Mercy South in Overland Park, KS, lists a cash median price of $104.00, which is lower than the facility's negotiated rates of $122.00. While the facility is a voluntary non-profit Children's hospital with a gross charge of $216.00, patients with high-deductible plans might find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates paid by payers like UnitedHealthcare (ranging from $112 to $164) and others exceed the cash amount. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final cost.

The data provided for this service does not include a state or county average for comparison, nor is there a Medicare benchmark or median paid amount listed in the current report. Without these external benchmarks, it is difficult to determine if the facility's pricing aligns with regional standards or if the negotiated rates represent a significant markup. However, the presence of multiple payers, including Medicaid/KanCare and Centivo, suggests that the facility operates within a competitive network environment. Consumers are advised to request a full itemized bill to ensure no unbundled codes or services not rendered are included, and to dispute any unexpected charges in writing rather than accepting summary invoices, as over 80% of hospital bills often contain errors that can be

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 $104.
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 Children'S Mercy South 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.