CMS Price Transparency Data
Care planning with family
Facility: Good Samaritan Hospital Medical Center
Billing Code: 90887 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$118
modeled fair price · typically $68–$194
modeled estimate · not a bill or quote
Fair price $118 Hospital's list price $190
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $40 - $554 | — |
| Blue Cross Blue Shieldmajor | $95 | — |
| Aetnamajor | $95 - $162 | — |
| Cignamajor | $95 - $124 | — |
| AmeriHealth | $86 | — |
| Fidelis Care | $246 - $554 | — |
| Independent Health | $246 | — |
| MVP Health Care | $95 - $246 | — |
| Oscar Health | $78 | — |
| UniCare | $124 | — |
| + 37 smaller / regional plans | $38 - $554 |
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Good Samaritan Hospital Medical Center
Compare: Care planning with family at other NY hospitals
- Ira Davenport Memorial Hospital · Bath $54
- Jones Memorial Hospital · Wellsville $62
- Wyckoff Heights Medical Center · Brooklyn $65
- St Barnabas Hospital · Bronx $65
- Olean General Hospital · Olean $76
- Brooks-Tlc Hospital System, Inc · Dunkirk $83
- Westfield Memorial Hospital Inc · Westfield $86
- Samaritan Medical Center · Watertown $87
Insurance negotiated median for the same procedure, sorted lowest first.