CMS Price Transparency Data

Care planning with family

Facility: Gundersen Lutheran Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $125
Cash Discount Price: $63
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Gundersen Lutheran Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1910 South Ave, La Crosse, WI.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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
Medica	$55 - $127	N/A
Blue Cross Blue Shield	$66 - $318	N/A
Ucare	$66 - $133	N/A
Amerigroup	$67	N/A
Group Health Eau Claire	$67 - $149	N/A
Group Health Of South Central	$67 - $133	N/A
Icare	$67	N/A
Iowa Total Care	$67	N/A
Managed Health Service	$67	N/A
Molina Health	$67	N/A
UnitedHealthcare	$67 - $135	N/A
Dean Health Plan	$70	N/A
Quartz	$70	N/A
Aetna	$73 - $158	N/A
Health Partners	$83 - $147	N/A
Medical Associates	$116 - $124	N/A
Midland Choice	$124	N/A
Alliance	$130 - $140	N/A
Claim Doc Llc	$133	N/A
Wps Narrow Network	$135	N/A
Cigna	$136	N/A
Wps - Arise	$136	N/A
Aspirus Arise Health	$138	N/A
Allied National General	$141	N/A
Preferred One	$141	N/A
Wps Statewide	$141	N/A
Coventry Health Care	$158	N/A
Humana	$158	N/A
Multiplan/Healtheos	$159	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 $63.
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 Gundersen Lutheran 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.