CMS Price Transparency Data

Care planning with family

Facility: Boston Children's Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $352
Cash Discount Price: $469
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Boston Children's Hospital is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$469

Average discount available for prompt cash payment at this facility.

Insurance Median

$352

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
Cdphp	$230 - $399	N/A
Harvard Pilgrim	$238 - $317	N/A
Blue Cross Blue Shield	$265 - $310	N/A
Aetna	$281 - $393	N/A
United	$281 - $392	N/A
Mgb/Allways	$285 - $347	N/A
Tufts Public Plan	$288 - $289	N/A
United Ri Nj Ny	$295	N/A
Ambetter / Centene	$296	N/A
Carelon Strategies/Bhs	$305	N/A
UnitedHealthcare	$305 - $399	N/A
Carelon/Beacon	$352	N/A
Fallon	$358 - $362	N/A
Health New England	$379	N/A
Cigna	$399 - $469	N/A
Ets/Lifetrac	$399	N/A
Interlink Transplant	$399	N/A
Community Health Options	$422	N/A
Humana	$422	N/A
Coventry/Hcvm/First Health	$431	N/A
Multiplan/Phcs	$431 - $446	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 $469.
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 Boston Children's 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.