CMS Price Transparency Data

Care planning with family

Facility: Mercy Hospital St Louis

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $83
Cash Discount Price: $118
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Mercy Hospital St Louis is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 615 New Ballas Road, Saint Louis, MO.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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
Aetna	$6 - $94	N/A
Medicaid / KanCare	$6 - $73	N/A
Medica Contracted [320239]	$24 - $70	N/A
Ambetter / Centene	$25 - $73	N/A
Home State Health Plan Contracted [320187]	$25 - $73	N/A
Novasys Contracted [320285]	$25 - $73	N/A
Blue Cross Blue Shield	$36 - $243	N/A
Aither Health Contracted [320449]	$40 - $116	N/A
Aither Health [20449]	$40 - $116	N/A
Auxiant Contracted [320462]	$40 - $116	N/A
Ebms Contracted [320493]	$40 - $116	N/A
Edison Health Solutions Contracted [320502]	$40 - $116	N/A
Healthlink Contracted [320179]	$40 - $184	N/A
Imagine 360 Contracted [320494]	$40 - $116	N/A
Mercy Benefit Admin Contracted [320251]	$40 - $122	N/A
Mercy Benefit Admin [20251]	$40 - $122	N/A
Reflect Health Contracted [320492]	$40 - $116	N/A
Show-Me Health Administrators Contracted [320483]	$40 - $116	N/A
Yuzu Health Contracted [320521]	$40 - $116	N/A
Cigna	$41 - $205	N/A
Health Choices Contracted [320448]	$55 - $162	N/A
Health Choices [20448]	$55 - $162	N/A
Medical Associates Health Contracted [320444]	$55 - $162	N/A
Federal Medical Center Contracted [320127]	$60 - $176	N/A
Insurance System Inc Contracted [320465]	$60 - $176	N/A
Point C Contracted [320238]	$60 - $176	N/A
Tri State Healthcare Coalition Contracted [320379]	$60 - $176	N/A
First Health Contracted [320128]	$64 - $192	N/A
Mercy Mgd Behavioral Health Contracted [320259]	$64 - $189	N/A
Multiplan Contracted [320270]	$64 - $202	N/A
Private Health Care Systems Contracted [320320]	$64 - $189	N/A
Workers Comp [20426]	$69 - $216	N/A
Medicare (plans)	$92 - $270	N/A
UnitedHealthcare	$591 - $726	N/A
United Medical Resources Contracted [320454]	$726	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 $118.
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 Mercy Hospital St Louis 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.