CMS Price Transparency Data

Care planning with family

Facility: Elmhurst Hospital Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $158
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Elmhurst Hospital Center is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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
Healthfirst	$44 - $338	N/A
Aetna	$65 - $257	N/A
Fidelis	$77 - $338	N/A
Wellcare	$83	N/A
Centerlight	$110	N/A
Oxford	$110 - $132	N/A
Oscar	$116	N/A
Metroplus	$138 - $338	N/A
Carelon	$143 - $150	N/A
Elderplan	$143	N/A
Amidacare	$150	N/A
Blue Cross Blue Shield	$150 - $338	N/A
Senior Whole Health	$150	N/A
United	$150 - $188	N/A
United Behavioral Health	$150 - $165	N/A
Affinity	$153 - $338	N/A
Carelon (Amida Care)	$153	N/A
Vnsny	$153 - $187	N/A
Cigna	$165	N/A
Multiplan	$176	N/A
Local 1199	$187	N/A
Villagecare Max	$187	N/A
Emblem	$188 - $203	N/A
Magnacare	$374 - $394	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 $X.
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 Elmhurst Hospital 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.