CMS Price Transparency Data

Care planning with family

Facility: Cambridge Health Alliance

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $69
Cash Discount Price: $45
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Cambridge Health Alliance is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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
Aetna	$21 - $185	N/A
Altus Dental [99011]	$21 - $69	N/A
Beacon Health Strategies [50002]	$21 - $69	N/A
Blue Cross Blue Shield	$21 - $136	N/A
Cbhc Uninsured Crisis Alt Payer [70097]	$21 - $69	N/A
Cbhc Uninsured Crisis [70096]	$21 - $69	N/A
Celticare [50004]	$21 - $69	N/A
Cigna	$21 - $192	N/A
Commonwealth Care Alliance Dental [99004]	$21 - $69	N/A
Coverage Discovery [90004]	$21 - $69	N/A
Delta Dental Of Ma [99007]	$21 - $69	N/A
Dominion National Dental [99012]	$21 - $69	N/A
Dph Tb Payor [85004]	$21 - $69	N/A
Esp Dental [99003]	$21 - $69	N/A
Eyemed Alt Payor [13001]	$21 - $69	N/A
First Health [50007]	$21 - $69	N/A
Global Medical Management [50024]	$21 - $69	N/A
Government Employee Health Association [50023]	$21 - $69	N/A
Guardian Dental [99013]	$21 - $69	N/A
Health Safety Net Dental [99002]	$21 - $69	N/A
Humana	$21 - $69	N/A
Ma Laborers Health And Welfare Fund [50022]	$21 - $69	N/A
Magellan Health Services [65098]	$21 - $69	N/A
Mass Health Dental [99001]	$21 - $69	N/A
Medical Mutual Of Ohio [50019]	$21 - $69	N/A
Medicare (plans)	$21 - $69	N/A
Metlife Dental [99008]	$21 - $69	N/A
Modern Assistance Program [30098]	$21 - $69	N/A
Mva [90002]	$21 - $69	N/A
Neighborhood Health Plan [50011]	$21 - $69	N/A
Other Bh Payor [50014]	$21 - $69	N/A
Other Commercial Payor [50015]	$21 - $69	N/A
Other Dental Payor [99014]	$21 - $69	N/A
Other Dual Eligible Payer [65004]	$21 - $69	N/A
Other Gov'T Alt [85006]	$21 - $69	N/A
Other Vision Payor [50013]	$21 - $69	N/A
Ri Neighborhood Health Plan [50017]	$21 - $69	N/A
Tricare	$21 - $69	N/A
Boston Medical Center - Wellsense [50003]	$54	N/A
Fallon [50006]	$54	N/A
Mass General Brigham [50021]	$54 - $107	N/A
Mass Health [70001]	$54	N/A
Medicaid / KanCare	$54	N/A
Other Tufts Health Public Plan [75002]	$54 - $79	N/A
Tufts Together W Cha [75001]	$54	N/A
UnitedHealthcare	$54 - $193	N/A
Mass Bh Partnership [70098]	$58	N/A
Wc [90001]	$66	N/A
Tufts Health Plan [30001]	$149 - $201	N/A
Health Plans Inc [20002]	$182	N/A
Hphc [20001]	$182	N/A
Aarp [40001]	$193	N/A
Oxford Health [40004]	$193	N/A
United Medical Resource [40005]	$193	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 $45.
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 Cambridge Health Alliance 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.