CMS Price Transparency Data

Trauma team activation

Facility: Spencer Municipal Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,646

about 1.2× the $1,362 Medicare rate · typically $1,172–$2,348

modeled estimate · not a bill or quote

Medicare pays $1,362 Fair price $1,646 Cash price $389 Hospital's list price $518

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$466 - $1,003	34%
Aetnamajor	$466	34%
Humanamajor	$492 - $1,013	36%
HealthPartners	$415	30%
Sanford Health Plan	$492	36%
+ 2 smaller / regional plans	$492

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 389), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0390.

Insurance Before you use insurance

Call your insurance company to confirm Spencer Municipal Hospital is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0390.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Spencer Municipal Hospital

Compare: Trauma team activation at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.