CMS Price Transparency Data

Care planning with family

Facility: CHI Health Good Samaritan

Billing Code: 90887 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$126

modeled fair price · typically $84–$280

modeled estimate · not a bill or quote

What this hospital charges insurers

$122

About the fair price

about $4 under the fair price

Fair price $126 This hospital $122 Cash price $96 Hospital's list price $157

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Lowest price of the 9 NE hospitals we have prices for — a strong deal.

Cheapest $122 Priciest $253

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Care planning with family is about $126. CHI Health Good Samaritan charges insurers about $122, or about $96 in cash — about the fair price. Located in Kearney, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$33 - $119	—
Ambetter (Centene)	$33	—
Medica	$122 - $165	—
+ 2 smaller / regional plans	$77 - $91

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 96), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90887.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Good Samaritan is in-network.
Ask your insurer whether prior approval is required for CPT code 90887.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Good Samaritan

Compare: Care planning with family at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.