CMS Price Transparency Data

Care planning with family

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $86
Cash Discount Price: $103
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at UMass Memorial Health - Harrington Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 100 South Street, Southbridge, MA.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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 (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$54	N/A
Workers Compensation [20501]	$66	N/A
Hne [11108]	$67	N/A
Wellpoint [11112]	$76	N/A
First Health Network [11120]	$77	N/A
Cigna	$80	N/A
Evernorth Behavioral Health [27]	$82	N/A
Aetna	$83 - $103	N/A
Harvard Pilgrim [10701]	$84	N/A
UnitedHealthcare	$87 - $103	N/A
Connecticare [11105]	$103	N/A
Fallon Carelon Hlth [28]	$103	N/A
Fallon Mcaid Carelon Hlth [29]	$103	N/A
Grants [20507]	$103	N/A
Masshealth Mcd Mbhp [38]	$103	N/A
Wellsense Mcaid Carelon Hlth [21]	$103	N/A
Hsno/Free Care [10801]	$681	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 $103.
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 UMass Memorial Health - Harrington 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.