CMS Price Transparency Data

Trauma team activation

Facility: Grandview Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $4,104
Cash Discount Price: $1,455
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Grandview Medical Center is $4,104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,455. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.01x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.

Cash / Self-Pay

$1,455

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,104

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: $1,455 (107%)

Insurance Median: $4,104 (301%)

Cash: $1,455 (107% of Medicare)

Ins. Median: $4,104 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Blue Cross Blue Shield	$294	22%
Self Pay	$1,119 - $1,791	82%
UnitedHealthcare	$1,127 - $3,357	83%
Bp Health Advocate	$1,865	137%
Aetna	$2,074	152%
Viva Health	$2,238 - $4,104	164%
Choicecare	$2,611	192%
Drummond	$2,611	192%
Alamed	$2,611	192%
Ag Administrators	$2,611	192%
American Employee Alliance	$2,984	219%
First Health	$3,500 - $5,834	257%
Value Options	$3,730	274%
Healthchoice	$3,730 - $4,477	274%
Multiplan	$4,551 - $5,223	334%
Blue Bell Creameries	$5,223	384%
USA PPO	$5,596	411%
Natl Comp Care	$5,596	411%
Coventry Work Comp Al	$5,834	428%
Novanet	$6,025	442%
Corvel	$6,342	466%
Cal-Med	$6,342	466%
Alabama Wc	$6,342	466%
Associated Admin	$6,715	493%

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 $1,455.
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 Grandview Medical Center 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.