CMS Price Transparency Data

Care planning with family

Facility: Mid-Columbia Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $137
Cash Discount Price: $109
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Mid-Columbia Medical Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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 (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Providence Ppo - All Plans	$58	N/A
Devoted Mcr Adv - All Plans	$103	N/A
Healthnet - All Other Plans	$104	N/A
Molina - All Other Plans	$114	N/A
Molina Mcr Adv	$114	N/A
Molina Mcaid	$119	N/A
Coventry - All Plans	$134	N/A
First Choice - All Plans	$136	N/A
Healthnet Mcr Adv	$137	N/A
Blue Cross Blue Shield	$139 - $171	N/A
Moda Health Plan - All Other Plans	$149	N/A
Employee Health Plan - All Plans	$160	N/A
Multiplan/Phcs - All Plans	$171	N/A
Va Ccn Triwest - All Plans	$171	N/A
Amerigroup Mcaid - All Plans	$228	N/A
Coordinated Care Mcaid - All Plans	$228	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 $109.
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 Mid-Columbia 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.