CMS Price Transparency Data

Trauma team activation

Facility: Lifecare Medical Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$1,343
about 1.0× the $1,362 Medicare rate · typically $505–$1,752
modeled estimate · not a bill or quote
Medicare pays $1,362 Fair price $1,343 Cash price $2,993 Hospital's list price $3,401

How we calculate the fair BaseRate →

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 $1,428 105%
Blue Cross Blue Shieldmajor $1,343 - $3,401 99%
HealthPartners $3,401 250%
Medica $1,428 - $3,306 105%
Sanford Health Plan $3,231 237%
UCare $1,700 - $3,741 125%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 715 Delmore Drive, Roseau, MN 56751
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals