CMS Price Transparency Data

Care planning with family

Facility: Cannon Memorial Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $83
Cash Discount Price: $138
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Cannon Memorial Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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
Medicaid / KanCare	$48 - $51	N/A
Absolute Total Care [58]	$49	N/A
Humana	$51 - $245	N/A
Select Health Of Sc [637]	$55	N/A
Champva [604]	$69	N/A
Tricare	$69	N/A
Aetna	$75	N/A
Mail Handlers Benefit Plan [327]	$75	N/A
Rural Carrier Benefit Plan [406]	$75	N/A
Ambetter / Centene	$82	N/A
Blue Choice Health Plan [922]	$82	N/A
Blue Cross Blue Shield	$82 - $138	N/A
Bright Health Alt Payer [1001]	$82	N/A
Medicare (plans)	$82	N/A
Planned Administrators [886]	$82	N/A
Thomas Cooper & Company [315]	$82	N/A
UnitedHealthcare	$96 - $112	N/A
Workers Compensation [622]	$107	N/A
Geha [302]	$112	N/A
Golden Rule Ins Co [584]	$112	N/A
Cigna	$115	N/A
Nalc Health Benefit Plan [291]	$115	N/A
Employee Benefit Management Services [869]	$132	N/A
Preferred Administrators [19]	$165	N/A
Edison Health Solutions [95]	$192	N/A
Healthscope [98]	$192	N/A
Medcost [206]	$220	N/A
Phcs [940]	$242	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 $138.
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 Cannon Memorial Hospital 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.