CMS Price Transparency Data

Care planning with family

Facility: Melrosewakefield Healthcare

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $77
Cash Discount Price: $97
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Melrosewakefield Healthcare is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 585 Lebanon Street, Melrose, MA.

Cash / Self-Pay

$97

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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
Allied Benefit Systems [100015]	$49	N/A
Allied National Global Care [100107]	$49	N/A
American Postal Workers [100089]	$49	N/A
Amerihealth Caritas Nh [350007]	$49	N/A
Assurant [100020]	$49	N/A
Avmed Health Plan [100247]	$49	N/A
Benemax [100276]	$49	N/A
Care One [950007]	$49	N/A
Carecentrix Alternate [100257]	$49	N/A
Compsych [100027]	$49	N/A
Coresource [100285]	$49	N/A
Coventry [100010]	$49	N/A
Coverage Discovery [100306]	$49	N/A
D'Youville Senior Care [950003]	$49	N/A
Employee Benefit Management [100033]	$49	N/A
Eyemed [100290]	$49	N/A
First Health [100278]	$49	N/A
Geha [100039]	$49	N/A
Generic Commercial [109999]	$49	N/A
Group And Pension Administrators [100043]	$49	N/A
Ibew Local 103 [100272]	$49	N/A
Lowell Comm Health Center [950009]	$49	N/A
Medicaid / KanCare	$49 - $139	N/A
Medicare (plans)	$49	N/A
Mutual Of Omaha [100074]	$49	N/A
National Association Of Letter Carriers [100067]	$49	N/A
National Elevator Ind Hlth Benefits [100273]	$49	N/A
Norfolk County [500013]	$49	N/A
Northwood Rehabilitation & Health [950004]	$49	N/A
Nova Healthcare Administrators [100270]	$49	N/A
Palm Manor [950005]	$49	N/A
Plymouth County [500019]	$49	N/A
Spectera [100291]	$49	N/A
Tall Tree Administrators [100271]	$49	N/A
Ultra Benefits [100280]	$49	N/A
Umass Disability [500017]	$49	N/A
Tufts Health Public Plan Connectorcare [100264]	$52 - $73	N/A
Cigna	$70	N/A
Wc Acadia Insurance Company [700108]	$77	N/A
Wc Aig [700029]	$77	N/A
Wc Aim Mutual Insurance [700054]	$77	N/A
Wc Alternative Service Concept [700065]	$77	N/A
Wc Ameritrust [700066]	$77	N/A
Wc Arrow Mutual Liability [700063]	$77	N/A
Wc Atlantic Charter [700064]	$77	N/A
Wc Berkshire Hathaway [700046]	$77	N/A
Wc Boston Police And Firefighter [700061]	$77	N/A
Wc Broadspire [700043]	$77	N/A
Wc Careworks [700109]	$77	N/A
Wc Cbcs [700110]	$77	N/A
Wc Ccmsi [700055]	$77	N/A
Wc Chubb Group [700067]	$77	N/A
Wc Cic/Mcmc [700068]	$77	N/A
Wc City Of Boston [700111]	$77	N/A
Wc City Of Cambridge [700069]	$77	N/A
Wc City Of Chelsea [700070]	$77	N/A
Wc City Of Everett [700071]	$77	N/A
Wc City Of Lowell [700062]	$77	N/A
Wc City Of Lynn [700072]	$77	N/A
Wc City Of Medford [700073]	$77	N/A
Wc City Of Melrose Police [700112]	$77	N/A
Wc City Of Melrose [700113]	$77	N/A
Wc City Of Newton [700074]	$77	N/A
Wc City Of Peabody [700075]	$77	N/A
Wc City Of Revere [700076]	$77	N/A
Wc City Of Somerville [700077]	$77	N/A
Wc Cna [700048]	$77	N/A
Wc Commonwealth Of Mass [700056]	$77	N/A
Wc Consigly Construction [700079]	$77	N/A
Wc Constitution State Services [700114]	$77	N/A
Wc Continental Indemnity Co [700078]	$77	N/A
Wc Corvel [700115]	$77	N/A
Wc Cove Risk Services [700080]	$77	N/A
Wc Creative Risk Solutions [700081]	$77	N/A
Wc Crum & Forster [700082]	$77	N/A
Wc Demoulas Supermarket [700083]	$77	N/A
Wc Emc Insurance Company [700084]	$77	N/A
Wc Energy Of Environmental Affairs [700085]	$77	N/A
Wc Esis [700010]	$77	N/A
Wc Federated Work Comp [700012]	$77	N/A
Wc Future Comp [700116]	$77	N/A
Wc Gallagher Bassett Work Comp [700013]	$77	N/A
Wc Geico [700057]	$77	N/A
Wc Generic Workers' Comp [709999]	$77	N/A
Wc Gowry Group [700086]	$77	N/A
Wc Hartford Insurance [700058]	$77	N/A
Wc Hrd/Workers Compensation Unit [700087]	$77	N/A
Wc Liberty Mutual Work Comp [700016]	$77	N/A
Wc Mapfre Insurance [700089]	$77	N/A
Wc Mass Nahro Insurance Group Trust [700090]	$77	N/A
Wc Mass State Police [700091]	$77	N/A
Wc Mbta [700092]	$77	N/A
Wc Meditrol [700093]	$77	N/A
Wc Memic [700117]	$77	N/A
Wc Metlife [700094]	$77	N/A
Wc Miia [700095]	$77	N/A
Wc Ml Healthcare Services Llc [700119]	$77	N/A
Wc Norfolk & Dedham Group [700096]	$77	N/A
Wc Norguard Ins Co [700097]	$77	N/A
Wc One Call Medical [700060]	$77	N/A
Wc Plumbers Union Local No 12 [700098]	$77	N/A
Wc Plymouth Rock [700099]	$77	N/A
Wc Pma Work Comp [700031]	$77	N/A
Wc Progressive Direct Insurance Co [700106]	$77	N/A
Wc Retail Business Services Llc [700100]	$77	N/A
Wc Rising Medical Solution [700101]	$77	N/A
Wc Sedgwick [700027]	$77	N/A
Wc Selective Insurance Co [700118]	$77	N/A
Wc Sentry [700036]	$77	N/A
Wc Sutter House [700102]	$77	N/A
Wc Town Of Andover Fire Dept [700103]	$77	N/A
Wc Town Of Arlington [700104]	$77	N/A
Wc Travelers Insurance [700059]	$77	N/A
Wc Us Department Of Labor [700023]	$77	N/A
Wc Vermont Mutual Insurance Group [700105]	$77	N/A
Wc York Risk Services [700049]	$77	N/A
Wc Zurich [700034]	$77	N/A
Allaracare [100163]	$80	N/A
Harvard Pilgrim Healthcare [100241]	$81	N/A
Health Plans Inc [100262]	$81	N/A
UnitedHealthcare	$81 - $120	N/A
Wellpoint [100139]	$120	N/A
Claritev/Multiplan [100275]	$122	N/A
Cypress Benefit Administrators [100122]	$122	N/A
Health New England [100268]	$122	N/A
Patient Advocates [100307]	$122	N/A
Meritain [100063]	$150	N/A
Health Safety Net [500011]	$531	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 $97.
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 Melrosewakefield Healthcare 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.