CMS Price Transparency Data

Trauma team activation

Facility: Boston Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,641
Cash Discount Price: $1,563
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Boston Medical Center is $1,641. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,563. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.21x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.

Cash / Self-Pay

$1,563

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,641

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: $1,563 (115%)

Insurance Median: $1,641 (121%)

Cash: $1,563 (115% of Medicare)

Ins. Median: $1,641 (121% 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
Tufts Conncare/Qhp [8020]	$431 - $2,200	32%
Hsn Confidential [4007]	$513	38%
Hsn Dental [4006]	$513	38%
Hsn Partial [4002]	$513	38%
Hsn Bad Debt [4003]	$513	38%
Hsn [4001]	$513	38%
Medicaid / KanCare	$1,251	92%
Tufts [8002]	$1,297 - $3,028	95%
Uphams Corner Esp [1213]	$1,390	102%
Workers Comp [5002]	$1,489	109%
Zzzcity of Boston Work Comp [5003]	$1,489	109%
Zzzbu Employee Work Comp [5004]	$1,489	109%
Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010]	$1,548	114%
Medicare (plans)	$1,548 - $1,626	114%
Ubh Hphc [8016]	$1,548	114%
Wellcare [1240]	$1,610	118%
Corrections [9001]	$1,626 - $1,936	119%
Zzzcca Onecare [1216]	$1,626	119%
Cca [1215]	$1,626	119%
Eternalhealth [1227]	$1,641	121%
Meritain Health [1023]	$1,699	125%
Aetna	$1,699	125%
Fallon Sco [1126]	$1,703	125%
Senior Whole Health [1210]	$1,858	136%
Mass General Brigham Health Plan Commercial [8009]	$1,874	138%
Blue Cross Blue Shield	$1,926	141%
Fallon [8008]	$2,013	148%
Wellpoint [2034]	$2,606	191%
Unicare [8004]	$2,606	191%
Cigna	$2,953 - $3,028	217%
Oxford Health [1007]	$3,804	279%
UnitedHealthcare	$3,804	279%
Zzzunited [1008]	$3,804	279%
Oxford Health [2024]	$3,804	279%
United [2025]	$3,804	279%

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 $1,563.
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 Boston 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.