CMS Price Transparency Data

Care planning with family

Facility: Seattle Children's Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $354
Cash Discount Price: $417
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Seattle Children's Hospital is $354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $417. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA.

Cash / Self-Pay

$417

Average discount available for prompt cash payment at this facility.

Insurance Median

$354

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
Usfhp [12208]	$171	N/A
Asuris [11913]	$225	N/A
Bridgespan Health Company [11906]	$225	N/A
Premera [11600]	$225 - $346	N/A
Regence [11903]	$225 - $346	N/A
Regence [11909]	$225	N/A
Chpw Cascade [12228]	$229	N/A
Coordinated Care [12267]	$229 - $313	N/A
Kaiser [13400]	$229 - $313	N/A
Kaiser [13401]	$271	N/A
Regence Ump [12263]	$271	N/A
Administrators [13102]	$313 - $354	N/A
Molina Marketplace [12831]	$313	N/A
UnitedHealthcare	$313 - $354	N/A
Asuris [11900]	$346	N/A
Blue Cross Blue Shield	$346	N/A
Aetna	$350	N/A
Ameriben [11006]	$350	N/A
Christian Brothers [11001]	$350	N/A
Coresource [11004]	$350	N/A
Ebms [11003]	$350	N/A
Meritain [12251]	$350 - $396	N/A
Moda [11009]	$350	N/A
Preferred One [11008]	$350	N/A
Web Tpa [11007]	$350	N/A
Allegiance [12264]	$354	N/A
Allied [13129]	$354	N/A
Assurant Health Fc [13135]	$354	N/A
Carpenters Trust [13100]	$354	N/A
Cigna	$354	N/A
Coastal Administrative [13140]	$354	N/A
Coventry Fc [13112]	$354	N/A
Ebms Fc [13144]	$354	N/A
First Choice [13399]	$354	N/A
Guardian Fc [13105]	$354	N/A
Health Alliance [13233]	$354	N/A
Ilwu-Pma [13158]	$354	N/A
Kps [13109]	$354	N/A
Loomis Benefits West [13161]	$354	N/A
Mega Life [13111]	$354	N/A
Meritain Health [13229]	$354	N/A
Moda Fc [13219]	$354	N/A
Myers Stevens & Toohey [13169]	$354	N/A
Pacific Underwriters [13175]	$354	N/A
Personify Fc [13155]	$354	N/A
Personify [12270]	$354	N/A
Principal Mutual Fc [13115]	$354	N/A
Providence Health Plan [12289]	$354	N/A
Providence Health Plan [13181]	$354	N/A
Psew [13124]	$354	N/A
Rehn & Associates [13182]	$354	N/A
Sound Health And Wellness [13116]	$354	N/A
Starmark [13103]	$354	N/A
Tongass Timber Trust [13202]	$354	N/A
Trusteed Plans [13186]	$354	N/A
Trustmark Life Insurance [13203]	$354	N/A
Tufts Health Plan [12279]	$354	N/A
Welfare Pension [13120]	$354	N/A
Wship [13121]	$354	N/A
Zenith American Solutions [13195]	$354	N/A
Zenith [13123]	$354	N/A
United Behavioral Health [12234]	$367	N/A
Coastal Admin Svcs Contracted [12222]	$375	N/A
Personify Contracted [12205]	$375	N/A
Claritev [12299]	$396	N/A
Ebms [12241]	$396	N/A
Health Alliance [12266]	$396	N/A
Humana	$396	N/A
Key Benefit Admin [12276]	$396	N/A
Medical Mutual [12233]	$396	N/A
Moda [12842]	$396	N/A
Nippon Life Insurance [12232]	$396	N/A
Pehp [12235]	$396	N/A
Preferredone Admin Services [12236]	$396	N/A
Select Health [12277]	$396	N/A
Altius Health Plan [12275]	$400	N/A
Coventry Mhbp [12272]	$400	N/A
Coventry [12244]	$400	N/A
First Health [12210]	$400	N/A
Hcc Medical [12274]	$400	N/A
Lewermark [12286]	$400	N/A
Medishare [12287]	$400	N/A
Pacificsource [12245]	$400	N/A
Rural Carrier Benefit Plan [12271]	$400	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 $417.
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 Seattle Children's 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.