CMS Price Transparency Data

Care planning with family

Facility: Cleveland Clinic

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $199
Cash Discount Price: $346
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Cleveland Clinic is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.

Cash / Self-Pay

$346

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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
Summacare	$44 - $158	N/A
Aetna	$68 - $533	N/A
Blue Cross Blue Shield	$68 - $227	N/A
Devoted Health	$68	N/A
Humana	$68	N/A
The Health Plan	$68 - $293	N/A
United	$68 - $204	N/A
UnitedHealthcare	$68 - $341	N/A
Upmc	$68 - $320	N/A
Valor	$68	N/A
Cigna	$70 - $426	N/A
Communicare	$71	N/A
Perennial Health	$73	N/A
Pphp	$73 - $74	N/A
Zing Health	$74	N/A
Cc Ehp	$129	N/A
Oscar	$142	N/A
Caresource	$145	N/A
Paramount	$150	N/A
Buckeye	$153	N/A
Molina	$153	N/A
United Bh	$160	N/A
Ohcp	$207	N/A
Ohio Healthy	$213	N/A
Aultcare	$229	N/A
Amish Community Aid Plan	$240	N/A
Mmo	$244 - $373	N/A
Omas	$266	N/A
Healthsmart	$293	N/A
Phphi	$320	N/A
Clarity Health	$346	N/A
Gms	$373	N/A
Quality Care Partners	$373	N/A
Consociate Health	$400	N/A
Multiplan	$480	N/A
Three Rivers	$480	N/A
Usa Managed Care	$480	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 $346.
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 Cleveland Clinic 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.