CMS Price Transparency Data

Care planning with family

Facility: Memorial Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $73
Cash Discount Price: $60
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Memorial Medical Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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
Ambetter / Centene	$28	N/A
Healthcare Highways-All Plans	$56	N/A
Prime Healthcare Services-All Plans	$60	N/A
Blue Cross Blue Shield	$65 - $69	N/A
Coventry First Hlth Hmo Ppo-All Other Plans	$69	N/A
Coventry First Hlth Mcr Adv	$69	N/A
Galaxy Health Network-All Plans	$69	N/A
Humana	$69	N/A
Corvel Work Comp-All Plans	$73	N/A
Independent Med Sys Ppo-All Plans	$73	N/A
Multiplan Mcr Adv	$73	N/A
Multiplan Phcs Ppo-All Other Plans	$73	N/A
Provider Select Ppo-All Plans	$73	N/A
Three Rivers Ppo-All Plans	$73	N/A
Usa Mso - All Plans	$73	N/A
Amerigroup Chip	$86	N/A
Amerigroup Star	$86	N/A
Amerigroup Star Kids	$86	N/A
Amerigroup Star Plus	$86	N/A
Comm Health Chip	$86	N/A
Comm Health Perinatal-All Other Plans	$86	N/A
Molina Chip/Star-All Plans	$86	N/A
Scott & White Chip/Star-All Plans	$86	N/A
Superior Chip/Star	$86	N/A
Texas Childrens Hp - All Plans	$86	N/A
UnitedHealthcare	$86 - $127	N/A
Comm Health Mcaid Hmo	$90	N/A
Comm Health Star	$90	N/A
Capstar Health Network-All Plans	$110	N/A
Cigna	$110	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 $60.
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 Memorial 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.