CMS Price Transparency Data

Care planning with family

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $276
Cash Discount Price: $158
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Cincinnati Children's Hospital Medical Center is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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
Medical_Mutual_Of_Ohio_Insurance	$142 - $322	N/A
Parkview_Signature_Care_Insurance	$163 - $255	N/A
Margaret_Mary_Health_Insurance	$176 - $276	N/A
Caresource_Oh_Insurance	$177	N/A
Beechstreet_Insurance	$215 - $336	N/A
Private_Health_Care_Systems_Insurance	$228	N/A
Point_Comfort_Insurance	$230	N/A
Cigna	$241 - $283	N/A
United_Health_Care_Insurance	$251 - $354	N/A
Aetna	$266 - $354	N/A
Blue Cross Blue Shield	$266 - $354	N/A
Health_Ohio_Network_Insurance	$283 - $336	N/A
Evolutions_Health_Care_Systems	$319	N/A
Galaxy_Health_Insurance	$319	N/A
Custom_Design_Benefits_Insurance	$336	N/A
First_Health_Group_Insurance	$336	N/A
Health_Link_Insurance	$336	N/A
Health_Smart_Preferred_Insurance	$336	N/A
Medical_Benefit_Administrators_Insurance	$336	N/A
Ohio_Health_Choice_Insurance	$336	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 $158.
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 Cincinnati Children's Hospital 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.