CMS Price Transparency Data

Care planning with family

Facility: Stanly Regional Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $126
Cash Discount Price: $109
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Stanly Regional Medical Center is $126. 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 301 Yadkin St, Albemarle, NC.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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
Alliance	$26 - $27	N/A
Carolina Complete Health	$26	N/A
Healthy Blue	$26	N/A
Partners	$26	N/A
Wellcare	$26	N/A
Amerihealth Caritas	$27	N/A
Trillium	$27	N/A
Vaya	$27	N/A
UnitedHealthcare	$38 - $147	N/A
Aetna	$58 - $196	N/A
Ambetter / Centene	$67 - $81	N/A
Humana	$81	N/A
Cigna	$84 - $174	N/A
Blue Cross Blue Shield	$85 - $112	N/A
Employers Health Network	$96 - $126	N/A
Physician Reach Out	$109	N/A
Magellan	$131	N/A
Medcost	$139 - $209	N/A
Gmmi	$141	N/A
Quik Trip	$141	N/A
Carolina Behavioral Health	$157 - $174	N/A
First Health	$196	N/A
Healthgram	$196	N/A
Choicecare	$205	N/A
Lifesynch Community Choice Care	$205	N/A
Multiplan	$205	N/A
Private Health Care Systems	$205	N/A
Beechstreet	$209	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 Stanly Regional Medical Center 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.