CMS Price Transparency Data

Care planning with family

Facility: Artesia General Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $197
Cash Discount Price: $143
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Artesia General Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$197

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
UnitedHealthcare	$60 - $203	N/A
Humana	$62	N/A
Zelis	$65 - $120	N/A
Presbyterian Health Plan	$80	N/A
First Health	$92 - $215	N/A
Blue Cross Blue Shield	$143	N/A
New Mexico Health Connections	$143	N/A
Geha	$167 - $191	N/A
Omni Networks	$167	N/A
Three Rivers Provider Network	$179	N/A
Cigna	$203 - $215	N/A
Triwest	$210	N/A
Galaxy Health	$215	N/A
One Health Plan	$215	N/A
Multiplan	$217	N/A
United Payors & United Providers	$222	N/A
Providence Risk & Insurance Services	$227	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 $143.
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 Artesia General 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.