CMS Price Transparency Data

Trauma team activation

Facility: Ely - Bloomenson Community Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$1,575
about 1.2× the $1,362 Medicare rate · typically $527–$1,966
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,081
Below the fair price — a good deal
about $494 under the fair price · 0.8× Medicare
Medicare pays $1,362 Fair price $1,575 This hospital $1,081 Cash price $876 Hospital's list price $1,081

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $560 Priciest $1,317

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 $1,575 (about 1.2× the $1,362 Medicare rate). Ely - Bloomenson Community Hospital charges insurers about $1,081, or about $876 in cash — below the fair price — a good deal. Located in Ely, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $595 - $1,081 44%
Blue Cross Blue Shieldmajor $370 - $890 27%
Cignamajor $519 - $1,049 38%
Humanamajor $600 - $1,059 44%
Medica $451 - $987 33%
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 328 West Conan Street, Ely, MN 55731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals