CMS Price Transparency Data

Trauma team activation

Facility: Kona Community Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,809
Cash Discount Price: $3,253
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Kona Community Hospital is $1,809. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,253. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.33x the Medicare baseline. Located in 79-1019 Haukapila Street, Kealakekua, HI.

Cash / Self-Pay

$3,253

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,809

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: $3,253 (239%)

Insurance Median: $1,809 (133%)

Cash: $3,253 (239% of Medicare)

Ins. Median: $1,809 (133% 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.

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
UnitedHealthcare	$978 - $1,714	72%
Hawaii Medical Service Association	$1,575 - $1,968	116%
Ohana Health Plan	$1,575 - $1,732	116%
Kaiser Permanente	$1,575 - $3,779	116%
Humana	$1,575 - $1,714	116%
Alohacare	$1,575 - $1,714	116%
Ohana	$1,714 - $1,885	126%
Kaiser	$1,714	126%
Hmsa	$1,714	126%
Devoted Health	$1,732	127%
University Health Alliance	$3,648 - $4,372	268%
Health Management Network	$4,254 - $5,098	312%
Hawaii Western Management Group	$4,755 - $5,698	349%
Mdx Hawaii	$4,855 - $5,818	357%

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 $3,253.
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 Kona Community 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.