CMS Price Transparency Data

Trauma team activation

Facility: Decatur Memorial Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,470

about 1.1× the $1,362 Medicare rate · typically $1,326–$1,918

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,670

About the fair price

about $200 over the fair price · 1.2× Medicare

Medicare pays $1,362 Fair price $1,470 This hospital $1,670 Cash price $7,255 Hospital's list price $7,255

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $1,142 Priciest $1,670

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Trauma team activation is about $1,470 (about 1.1× the $1,362 Medicare rate). Decatur Memorial Hospital charges insurers about $1,670, or about $7,255 in cash — about the fair price. Located in Decatur, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$5,224 - $7,255	384%
Blue Cross Blue Shieldmajor	$220 - $7,255	16%
Aetnamajor	$4,353 - $4,868	320%
Cignamajor	$3,381	248%
Humanamajor	$3,121	229%
HealthLink	$4,977	365%
+ 8 smaller / regional plans	$3,120 - $7,255

Government programs also on file: Medicaid.

Excludes 6 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 7,255), 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 Decatur Memorial 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 Decatur Memorial Hospital

Compare: Trauma team activation at other IL hospitals

Jacksonville Memorial Hospital · Jacksonville $1,142
John H Stroger Jr Hospital · Chicago $1,270
West Suburban Medical Center · Oak Park $1,379
Louis A Weiss Memorial Hospital · Chicago $1,379
Saint Anthony Hospital · Chicago $1,379
Deaconess Illinois Crossroads · Mount Vernon $1,379
Northshore University Healthsystem - Evanston Hospital · Evanston $1,428
Carle Health Proctor Hospital · Peoria $1,428

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