CMS Price Transparency Data

Care planning with family

Facility: Chippewa County Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $98
Cash Discount Price: $151
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Chippewa County Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 824 North 11Th Street, Montevideo, MN.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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
Health Partners Mcr	$95	N/A
Medica Mcr Adv	$95	N/A
Medica Mcr Cost/Select	$95	N/A
Ucare Mcr Select	$95	N/A
Ucare Mcr Adv	$98	N/A
Ucare Msho	$98	N/A
Ucare Non-Dual	$98	N/A
Medica Mcaid	$107	N/A
Ucare Ifp - All Other Plans	$109	N/A
Blue Cross Blue Shield	$162	N/A
Medica Comm - All Other Plans	$202	N/A
Health Partners Comm - All Other Plans	$207	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 $151.
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 Chippewa County 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.