CMS Price Transparency Data

Trauma team activation

Facility: Southcoast Hospitals Group

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $5,483
Cash Discount Price: $5,662
vs. Medicare Baseline: 4.03x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Southcoast Hospitals Group is $5,483. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,662. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 4.03x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$5,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,483

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: $5,662 (416%)

Insurance Median: $5,483 (403%)

Cash: $5,662 (416% of Medicare)

Ins. Median: $5,483 (403% 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 403% of the Medicare baseline (a markup of 303%). 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
Tufts Health Public Plans [1010213]	$412	30%
Blue Cross Blue Shield	$1,428 - $1,571	105%
Aetna	$1,571 - $10,259	115%
Evercare [1010304]	$1,571	115%
Medicare (plans)	$1,571 - $1,885	115%
Tufts Senior Care Options [1010315]	$1,571	115%
UnitedHealthcare	$1,571 - $3,332	115%
Wellsense Health Plan Senior Care Options [1020208	$1,587	117%
Commonwealth Care Alliance [1080501]	$1,618 - $1,634	119%
Eternal Health [1010322]	$1,728	127%
Wellsense Health Plan Clarity Connectorcare & Meta	$1,954 - $2,882	143%
Fallon [1000114]	$2,200	162%
Tufts [1010701]	$3,820 - $5,635	281%
Mass General Brigham Health Plan Commercial [10122	$5,148 - $7,595	378%
Mass General Brigham Health Plan Connectorcare [10	$5,148 - $7,595	378%
Group Insurance Service Center [1013001]	$5,483 - $8,089	403%
Innovative Health Plan [1025001]	$5,483 - $8,089	403%
Priority Health [1015001]	$5,483 - $8,089	403%
PHCS [1000125]	$5,940 - $8,763	436%
Wellpoint [1000102]	$5,940 - $8,763	436%
Cigna	$6,013 - $8,870	442%
First Health [1000130]	$6,954 - $10,259	511%

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 $5,662.
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 Southcoast Hospitals Group 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.