CMS Price Transparency Data

Care planning with family

Facility: Atrium Health Pineville

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $101
Cash Discount Price: $109
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Atrium Health Pineville is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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
Alliance	$22 - $23	N/A
Amerihealth Caritas	$22	N/A
Partners	$22	N/A
Carolina Complete Health	$23	N/A
Healthy Blue	$23	N/A
Trillium	$23	N/A
Vaya	$23	N/A
Wellcare	$23	N/A
UnitedHealthcare	$33 - $103	N/A
Aetna	$58 - $181	N/A
Ambetter / Centene	$63 - $79	N/A
Blue Cross Blue Shield	$63 - $85	N/A
Humana	$81	N/A
Cigna	$84 - $147	N/A
Employers Health Network	$96	N/A
Ortho Carolina	$100	N/A
Physician Reach Out	$109	N/A
Medcost	$117 - $130	N/A
Magellan	$131	N/A
Gmmi	$141	N/A
Quik Trip	$141	N/A
Choicecare	$157 - $161	N/A
Healthgram	$174	N/A
Provider Select	$176 - $196	N/A
Private Health Care Systems	$178	N/A
First Health	$181	N/A
Beechstreet	$196	N/A
Multiplan	$200	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 $109.
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 Atrium Health Pineville 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.