CMS Price Transparency Data

Care planning with family

Facility: North Carolina Baptist Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $22
Cash Discount Price: $34
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at North Carolina Baptist Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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
Blue Cross Blue Shield	$13 - $23	N/A
Medcost	$13 - $46	N/A
Aetna	$15 - $59	N/A
Alliance	$15 - $16	N/A
Amerihealth	$15 - $19	N/A
Carolina Complete	$15 - $16	N/A
Health Blue	$15 - $16	N/A
Partners	$15 - $16	N/A
Trillium	$15 - $16	N/A
UnitedHealthcare	$15 - $24	N/A
Vaya	$15 - $16	N/A
Wellcare	$15 - $16	N/A
Ambetter / Centene	$18 - $19	N/A
Cigna	$20 - $41	N/A
Oscar	$20 - $25	N/A
Humana	$36 - $38	N/A
Directnet	$38 - $41	N/A
Cone Health	$46 - $48	N/A
Healthgram	$46 - $48	N/A
First Carolina Care	$52 - $55	N/A
Private Healthcare Systems	$53 - $57	N/A
Multiplan	$58 - $62	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 $34.
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 North Carolina Baptist 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.