CMS Price Transparency Data

Trauma team activation

Facility: Fairbanks Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $3,088
Cash Discount Price: $3,932
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Fairbanks Memorial Hospital is $3,088. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,932. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 2.27x the Medicare baseline. Located in 1650 Cowles Street, Fairbanks, AK.

Cash / Self-Pay

$3,932

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,088

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,361.78

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,361.78 (100%)

Cash / Self-Pay: $3,932 (289%)

Insurance Median: $3,088 (227%)

Cash: $3,932 (289% of Medicare)

Ins. Median: $3,088 (227% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,361.78 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 227% of the Medicare baseline (a markup of 127%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Banner Choice - All Plans	$860 - $1,375	63%
Premera First - All Plans	$1,479	109%
VA (Triwest) - All Plans	$1,479	109%
Tricare	$1,479	109%
Blue Cross Blue Shield	$2,993 - $4,789	220%
UnitedHealthcare	$3,025 - $4,840	222%
Aetna	$3,057 - $4,890	224%
Multiplan - All Plans	$3,088 - $4,941	227%
Moda Health Plan - All Plans	$3,088 - $4,941	227%
Cigna	$3,120 - $4,992	229%

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 $3,932.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0390.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fairbanks Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0390.
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.