CMS Price Transparency Data

Trauma team activation

Facility: St Mary's Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$1,286
about 0.9× the $1,362 Medicare rate · typically $353–$2,154
modeled estimate · not a bill or quote
Medicare pays $1,362 Fair price $1,286 Cash price $231 Hospital's list price $308

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $224 - $319 16%
Blue Cross Blue Shieldmajor $195 - $389 14%
Aetnamajor $224 - $362 16%
GEHA $265 - $377 19%
+ 4 smaller / regional plans $226 - $381
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 701 Lewiston St, Cottonwood, ID 83522
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals