CMS Price Transparency Data
Trauma team activation
Facility: William W Backus Hospital
Billing Code: G0390 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$1,528
about 1.1× the $1,362 Medicare rate · typically $697–$3,381
modeled estimate · not a bill or quote
Medicare pays $1,362 Fair price $1,528 Cash price $4,790 Hospital's list price $4,790
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $545 | 40% |
| Blue Cross Blue Shieldmajor | $545 - $9,879 | 40% |
| Aetnamajor | $558 | 41% |
| Cignamajor | $1,674 | 123% |
| Molina | $545 | 40% |
| Tufts Health Plan | $545 | 40% |
| WellCare | $556 | 41% |
| + 1 smaller / regional plan | $545 |
Self-Pay How to get the cash price
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Other Procedures at William W Backus Hospital
Compare: Trauma team activation at other CT hospitals
- Hartford Hospital · Hartford $558
- Gaylord Hospital · Wallingford $1,362
- Bristol Hospital · Bristol $1,582
- Griffin Hospital · Derby $1,582
- John Dempsey Hospital of the University of Connect · Farmington $1,582
- Connecticut Childrens Medical Center · Hartford $3,368
Insurance negotiated median for the same procedure, sorted lowest first.