CMS Price Transparency Data

Trauma team activation

Facility: Good Samaritan Medical Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,761

about 1.3× the $1,362 Medicare rate · typically $1,459–$2,748

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,677

About the fair price

about $84 under the fair price · 1.2× Medicare

Medicare pays $1,362 Fair price $1,761 This hospital $1,677 Cash price $2,058 Hospital's list price $4,574

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $1,001 Priciest $1,677

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

A fair price for a Trauma team activation is about $1,761 (about 1.3× the $1,362 Medicare rate). Good Samaritan Medical Center charges insurers about $1,677, or about $2,058 in cash — about the fair price. Located in Brockton, MA.

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	$1,597	117%
Blue Cross Blue Shieldmajor	$1,597 - $3,430	117%
Aetnamajor	$1,597 - $2,961	117%
Cignamajor	$2,744 - $3,299	202%
Humanamajor	$1,597	117%
Tufts Health Plan	$2,813 - $3,299	207%
UniCare	$3,430	252%
+ 13 smaller / regional plans	$395 - $2,646

Government programs also on file: Medicare, Military & VA.

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 2,058), 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 Good Samaritan Medical Center 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 Good Samaritan Medical Center

Compare: Trauma team activation at other MA hospitals

North Adams Regional Hospital Corporation · North Adams $1,001
Fairview Hospital · Great Barrington $1,101
Beth Israel Deaconess Hospital - Milton · Milton $1,409
New England Baptist Hospital · Boston $1,489
Southcoast Hospitals Group · Fall River $1,571
Northeast Hospital Corporation · Beverly $1,581
Winchester Hospital · Winchester $1,597
Anna Jaques Hospital · Newburyport $1,616

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