CMS Price Transparency Data

Care planning with family

Facility: Marshfield Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $123
Cash Discount Price: $129
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Marshfield Medical Center is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$129

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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
Family Health Center (Fhc)	$68	N/A
Security Health Plan (Shp)	$69 - $101	N/A
Amish/Mennonite	$75	N/A
Sanford Health Plan	$75	N/A
The Alliance	$95 - $114	N/A
Blue Cross Blue Shield	$103 - $120	N/A
Group Health Cooperative Of Eau Claire	$112 - $125	N/A
Besse Forest Products	$116	N/A
Molina Healthcare Of Wi	$116	N/A
Rice Lake School District	$116	N/A
Wps Health Insurance	$120 - $131	N/A
Trilogy	$122 - $131	N/A
UnitedHealthcare	$124	N/A
Medica Of Wi	$126 - $129	N/A
Cigna	$128	N/A
Healtheos By Multiplan Inc.	$128 - $129	N/A
Corvel	$129	N/A
First Health	$129	N/A
Health Partners	$129	N/A
Three Rivers Provider Network (Trpn)	$129	N/A
Coventry	$131	N/A
Health Smart	$131	N/A
Rising Medical Work Comp	$132	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 $129.
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 Marshfield 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.