CMS Price Transparency Data

Trauma team activation

Facility: West Valley Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $4,316
Cash Discount Price: $6,428
vs. Medicare Baseline: 3.17x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at West Valley Medical Center is $4,316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,428. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.17x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$6,428

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,316

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: $6,428 (472%)

Insurance Median: $4,316 (317%)

Cash: $6,428 (472% of Medicare)

Ins. Median: $4,316 (317% 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 317% of the Medicare baseline (a markup of 217%). 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
Select Health Idaho (Eirmc Only)	$1,530 - $2,571	112%
Corizon Health	$1,774 - $2,982	130%
True Blue	$1,894 - $3,184	139%
Cigna	$2,685 - $4,514	197%
Pacificsource Health	$2,863 - $4,812	210%
United	$2,863 - $4,812	210%
Moda	$2,987 - $5,021	219%
St Luke's Health Partners	$3,117 - $5,239	229%
Blue Cross Blue Shield	$3,346 - $7,657	246%
Aetna	$3,793 - $6,375	279%
Multiplan	$3,836 - $6,448	282%
Four Rivers Hospice	$3,836 - $6,448	282%
Humana	$4,028 - $6,770	296%
Geha PPO USA	$4,076 - $6,851	299%
Coventry First Health	$4,316 - $7,254	317%
St Alphonsus Health	$4,316 - $7,254	317%

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 $6,428.
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 West Valley 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.