CMS Price Transparency Data

Care planning with family

Facility: Baylor Scott & White Medical Center at Irving

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $136
Cash Discount Price: $136
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Baylor Scott & White Medical Center at Irving is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1901 N Macarthur Blvd, Irving, TX.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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
Superior Health Plan	$25	N/A
Wellpoint (Fka Amerigroup)	$25	N/A
Blue Cross Blue Shield	$79 - $167	N/A
Baylor Scott & White Health Plan	$112 - $131	N/A
Cigna	$112 - $131	N/A
Aetna	$124 - $136	N/A
Employers Health Network	$124	N/A
Quiktrip	$124	N/A
University Of Mary Hardin-Baylor	$131	N/A
Imagine Health	$142	N/A
Ambetter / Centene	$147	N/A
Curative	$147	N/A
First Health	$158	N/A
Healthsmart	$158 - $170	N/A
Humana	$158	N/A
Private Health Care System	$170	N/A
Triwest	$170	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 $136.
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 Baylor Scott & White Medical Center at Irving 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.