CMS Price Transparency Data

Trauma team activation

Facility: Mahnomen Health Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$1,323
about 1.0× the $1,362 Medicare rate · typically $1,028–$1,641
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,389
About the fair price
about $66 over the fair price · 1.0× Medicare
Medicare pays $1,362 Fair price $1,323 This hospital $1,389 Cash price $3,938 Hospital's list price $4,375

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $560 Priciest $1,389

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

A fair price for a Trauma team activation is about $1,323 (about 1.0× the $1,362 Medicare rate). Mahnomen Health Center charges insurers about $1,389, or about $3,938 in cash — about the fair price. Located in Mahnomen, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $1,389 - $2,888 102%
Blue Cross Blue Shieldmajor $1,231 - $3,151 90%
Medica $1,969 - $3,789 145%
Sanford Health Plan $1,323 - $4,156 97%
UCare $1,389 102%

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Facility Profile & Credentials

  • Address: 414 W Jefferson Po Box 396, Mahnomen, MN 56557
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Rural Emergency Hospital