CMS Price Transparency Data

Trauma team activation

Facility: St Gabriels Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$1,283
about 0.9× the $1,362 Medicare rate · typically $528–$1,860
modeled estimate · not a bill or quote
Medicare pays $1,362 Fair price $1,283 Cash price $4,418 Hospital's list price $7,617

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $5,560 - $6,094 408%
Blue Cross Blue Shieldmajor $2,285 - $4,342 168%
Humanamajor $2,742 201%
HealthPartners $2,514 - $4,570 185%
Medica $2,046 - $6,398 150%
Sanford Health Plan $7,236 531%
UCare $2,879 - $6,703 211%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 815 Southeast Second Street, Little Falls, MN 56345
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals