CMS Price Transparency Data

Care planning with family

Facility: Mercy Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $152
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Mercy Medical Center is $152. 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 1000 North Village Avenue, Rockville Centre, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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
Health First	$38 - $554	N/A
UnitedHealthcare	$40 - $554	N/A
Us Family Health Plan	$44	N/A
Centers Plan For Healthy Living	$57	N/A
Surest	$57	N/A
Beacon Health Strategies	$76 - $296	N/A
Emblem Health	$76 - $296	N/A
Liberty Health	$76	N/A
Oscar Health	$78	N/A
American Plan Administrators	$86	N/A
Amerihealth Administrators	$86	N/A
Benefit Services	$86	N/A
Ghi Cbp Ny City Employee Alternate	$86	N/A
International Benefit Administrator	$86	N/A
Ultra Benefits Inc.	$86	N/A
Aetna	$95	N/A
Apwu	$95	N/A
Blue Cross Blue Shield	$95	N/A
Centivo	$95	N/A
Cigna	$95 - $124	N/A
Daniel H Cook	$95	N/A
Local 1199	$95	N/A
Mail Handlers Benefit Plan	$95	N/A
Meritain Health	$95	N/A
Mvp Health Plans	$95 - $246	N/A
Nalc	$95	N/A
Nippon Life Insurance Company Of America	$95	N/A
Salvation Army	$95	N/A
Samba	$95	N/A
Self Pay	$95	N/A
Allied Wellfare Fund	$124	N/A
American Group Administrators	$124	N/A
Bakery & Confectionery Union	$124	N/A
Brighton	$124 - $175	N/A
Comprehensive Benefits Consultant	$124	N/A
Guardian Life Insurance Company Of America	$124	N/A
Maloney And Assoc	$124	N/A
Multiplan	$124	N/A
Performax	$124	N/A
Phcs	$124	N/A
Pomco	$124	N/A
Tpa Inc	$124	N/A
Unicare	$124	N/A
United Employees Health Plan	$124	N/A
Zadroga	$126	N/A
Coventry	$141 - $152	N/A
Longevity Health Plan	$152	N/A
Magellan	$152	N/A
Galaxy	$171	N/A
Three Rivers Provider Network	$171	N/A
Aither Health	$190	N/A
Alpha Care	$190	N/A
Dentaquest	$190	N/A
Veterans Affairs	$190	N/A
Affinity Health Plan	$246 - $554	N/A
Beacon Health Options	$246 - $573	N/A
Centerlight Healthcare	$246	N/A
Elderplan Inc.	$246	N/A
Fidelis Care New York	$246 - $554	N/A
Health Plus	$246 - $554	N/A
Independent Health	$246	N/A
Medicaid / KanCare	$246	N/A
Senior Whole Health	$246	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 Mercy 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.