CMS Price Transparency Data

Care planning with family

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $238
Cash Discount Price: $268
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$268

Average discount available for prompt cash payment at this facility.

Insurance Median

$238

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
Ambetter / Centene	$72	N/A
UnitedHealthcare	$73 - $199	N/A
Blue Cross Blue Shield	$121 - $174	N/A
Coventry	$174	N/A
Superior	$187 - $206	N/A
United Options Nexus	$199	N/A
Wellpoint	$221 - $243	N/A
Cigna	$235	N/A
Rockwall County	$238 - $262	N/A
Healthfirst	$255 - $280	N/A
Quiktrip	$255 - $280	N/A
Phcs	$276	N/A
Aetna	$297	N/A
Galaxy Health Network	$306 - $337	N/A
Multiplan	$306 - $337	N/A
Healthsmart	$398	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 $268.
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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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.