CMS Price Transparency Data

Care planning with family

Facility: Trinity Health Ann Arbor Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $174
Cash Discount Price: $147
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Trinity Health Ann Arbor Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.

Cash / Self-Pay

$147

Average discount available for prompt cash payment at this facility.

Insurance Median

$174

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
Blue Cross Blue Shield	$54 - $81	N/A
Point Comfort Underwriters	$56	N/A
Wc Accident Fund	$65	N/A
Wc Advantage	$65	N/A
Wc Aig	$65	N/A
Wc Allied	$65	N/A
Wc Amerisure	$65	N/A
Wc Amtrust	$65	N/A
Wc Asu Risk Mgt	$65	N/A
Wc Berkley Admin	$65	N/A
Wc Broadspire	$65	N/A
Wc Bunch & Associates	$65	N/A
Wc Ccmsi	$65	N/A
Wc Emc Insurance Company	$65	N/A
Wc Esis	$65	N/A
Wc Fcci	$65	N/A
Wc Federated	$65	N/A
Wc Gallagher Bassett	$65	N/A
Wc Genex Care For Ohio	$65	N/A
Wc Guard Insurance Company	$65	N/A
Wc Hartford	$65	N/A
Wc Liberty Mutual	$65	N/A
Wc Meijers	$65	N/A
Wc Michigan	$65	N/A
Wc Mitchell Frankenmuth	$65	N/A
Wc Pma	$65	N/A
Wc Sedgwick	$65	N/A
Wc Sentry	$65	N/A
Wc Travelers	$65	N/A
Wc Tristar	$65	N/A
Wc Walmart	$65	N/A
Wc Zurich	$65	N/A
Bcn Domestic	$81	N/A
Blue Benefit Administrators Of Massachusetts	$81	N/A
Blue Care Network	$81	N/A
Blue Distinction Transplant	$81	N/A
Blue Shield - Ca	$81	N/A
Blue Shield - Id (Regence)	$81	N/A
Blue Shield - Ny Highmark Northeastern	$81	N/A
Blue Shield - Ny Highmark Western	$81	N/A
Blue Shield - Pa (Highmark)	$81	N/A
Blue Shield - Wa (Regence)	$81	N/A
Health Choices	$81 - $174	N/A
Kaiser Domestic	$81	N/A
Aetna	$85 - $126	N/A
Acs Benefit Services	$105	N/A
Allied Benefit Systems	$105	N/A
Claimchoice Adminstrators	$105	N/A
Consociate	$105	N/A
Cypress Benefit Administrators	$105	N/A
Forest County Potawatomi	$105	N/A
Health Smart	$105	N/A
Healthgram	$105	N/A
Healthscope	$105	N/A
Secureone Preferred United Plans	$105	N/A
Sisco Benefits	$105	N/A
The Health Plan	$105	N/A
Trustmark Small Business Benefits	$105	N/A
Unified Group Services	$105	N/A
Webtpa	$105	N/A
Priority Health	$116 - $129	N/A
Geha	$126	N/A
Meritain	$126	N/A
U Of M Health Plan	$145	N/A
1199 National Benefit Fund	$174	N/A
Access Health	$174	N/A
Acclaim	$174	N/A
Administrative Concepts	$174	N/A
Allegeant	$174	N/A
Allied National Global Care	$174	N/A
Ameriben	$174	N/A
American Family	$174	N/A
American Healthcare Alliance	$174	N/A
American National	$174	N/A
American Republic	$174	N/A
Amerihealth	$174	N/A
Asrm - Reliance Standard Life Insurance	$174	N/A
Aultcare	$174	N/A
Automated Benefit Services	$174	N/A
Auxiant	$174	N/A
Benefit Administrative Systems,Llc	$174	N/A
Boon Chapman	$174	N/A
Cam Administrative Services	$174	N/A
Christian Brother Services	$174	N/A
Christian Brothers Holy Cross	$174	N/A
Christian Care Ministry	$174	N/A
Comprehensive Benefits	$174	N/A
Continental Life Insurance	$174	N/A
Coventry	$174	N/A
Custom Benefit Administrators	$174	N/A
Dean Health	$174	N/A
Employee Benefit Concepts	$174	N/A
Employee Benefit Management	$174	N/A
Enterprise Group Planning	$174	N/A
Fallon Health	$174	N/A
Family Life Insurance Company	$174	N/A
Freedom Life Insurance Company	$174	N/A
Ghc Scw	$174	N/A
Group Administrators	$174	N/A
Group Marketing Services	$174	N/A
Group Pension Administrators	$174	N/A
Guardian	$174	N/A
Hap	$174 - $211	N/A
Health America	$174	N/A
Health Partners	$174	N/A
Healthcare Management Admin	$174	N/A
Healthez	$174	N/A
Humana	$174	N/A
Insight	$174	N/A
Intercare	$174	N/A
International Benefit Administrators	$174	N/A
Jfp Benefit Management	$174	N/A
Jp Farley Corporation	$174	N/A
Key Benefit Administrator	$174	N/A
Liberty Union Life Assurance Co	$174	N/A
Lifetime Benefit Solutions	$174	N/A
Lucent Health	$174	N/A
Luminare Health	$174	N/A
Luminare Health (Detroit)	$174	N/A
Magnacare	$174	N/A
Manhattan Life	$174	N/A
Medben	$174	N/A
Medcost	$174	N/A
Medi Share	$174	N/A
Medical Mutual	$174	N/A
Multiplan	$174	N/A
Mutual Health Services	$174	N/A
Mutual Of Omaha	$174	N/A
Mvp	$174	N/A
Ncas	$174	N/A
Nippon Life Ins	$174	N/A
Nova	$174	N/A
Pai	$174	N/A
Painters Union Insurance Fund	$174	N/A
Pan-American Life	$174	N/A
Paramount Hmo	$174	N/A
Phcs	$174	N/A
Physicians Mutual	$174	N/A
Plumbers Local 98 Insurance Fund	$174	N/A
Prairie States	$174	N/A
Preferred One	$174	N/A
Primary Physician Care	$174	N/A
Professional Benefit Administrators	$174	N/A
Siho Insurance Services	$174	N/A
The Loomis Company	$174	N/A
Trinity Health Share	$174	N/A
Tufts Health Plan	$174	N/A
Unicare	$174	N/A
Us Health And Life	$174	N/A
Valenz	$174	N/A
Western & Southern Financial Group	$174	N/A
Wps	$174	N/A
Cigna	$175	N/A
First Health	$178	N/A
Prime Health Services	$181	N/A
Correctional Healthcare Consultants	$203	N/A
Three Rivers Provider Network	$203	N/A
UnitedHealthcare	$203	N/A
Asr Health Benefits	$211	N/A
Caresource	$211	N/A
Varipro	$211	N/A
Bcccp-Michigan	$226	N/A
Cmh Detroit Wayne Integrated Health Network	$226	N/A
Cmh Lenawee County	$226	N/A
Cmh Livingston County	$226	N/A
Cmh Misc	$226	N/A
Cmh Monroe County	$226	N/A
Cmh Washtenaw County	$226	N/A
Crime Victim Assistance	$226	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 $147.
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 Trinity Health Ann Arbor 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.