CMS Price Transparency Data

Care planning with family

Facility: Perham Health

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $113
Cash Discount Price: $203
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Perham Health is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$203

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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
Medicare (plans)	$76 - $110	N/A
Ucare Mn Special Needs Basic Care Dual	$76	N/A
Blue Cross Blue Shield	$87 - $212	N/A
Ucare Individual And Family Plan-All Other Plans	$87	N/A
Health Partners Mcr Adv	$106	N/A
Humana	$106	N/A
Medica Mcr Adv	$106	N/A
Ucare Mn Senior Health Options	$106	N/A
UnitedHealthcare	$110 - $244	N/A
Medicaid / KanCare	$113	N/A
Ucare Mn Medical Assistance	$113	N/A
Ucare Mn Minnesota Care	$113	N/A
Ucare Mn Senior Care Plus	$113	N/A
Ucare Mn Special Needs Basic Care	$113	N/A
Medica Mcaid Mn Care	$115	N/A
Medica Mn (Msho)	$129	N/A
Medica Mn Senior Hp/Outside Mn	$142	N/A
Health Partners Minnesota Care	$156	N/A
Medica Commercial-All Other Plans	$229	N/A
Preferred One (Pchp, Pic, Pas)-All Other Plans	$235	N/A
Health Partners-All Plans	$257	N/A
Preferred One (Ppo)	$266	N/A
Sanford Health Plan-All Plans	$266	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 $203.
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 Perham Health 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.