Care planning with family
Facility: Wamego Health Center
Billing Code: 90887 (CPT)
- CPT Billing Code: 90887
- Insurance Median: $122
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: N/A Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Providrs Care | $122 | N/A |
Consumer Guidance & Cost Commentary
For the procedure "Care planning with family" at Wamego Health Center in Wamego, KS, the negotiated rate for in-network coverage with Providrs Care is $122.00. This facility, a voluntary non-profit Critical Access Hospital, has a single payer in its network. While specific cash or median paid amounts were not reported for this service, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurance allowed amount might exceed the cash price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
When evaluating costs, it is important to compare facility rates against state or county averages to understand the true cost of care, as commercial negotiated rates often include administrative overhead that can inflate the baseline price. Although specific state or county average data was not provided in this report, the facility's rate of $122.00 serves as a benchmark for in-network pricing. If you have received a bill, ensure you request a full itemized statement to verify that all charges are accurate and that no services were unbundled or double-billed. Additionally, if you are concerned about balance billing, remember that the No Surprises Act protects you from being billed for out-of-network services at in-network facilities for emergency and non-emergency care.