CMS Price Transparency Data

Trauma team activation

Facility: Northeast Regional Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,984
Cash Discount Price: $2,030
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Northeast Regional Medical Center is $2,984. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,030. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 2.19x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.

Cash / Self-Pay

$2,030

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,984

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,361.78

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,361.78 (100%)

Cash / Self-Pay: $2,030 (149%)

Insurance Median: $2,984 (219%)

Cash: $2,030 (149% of Medicare)

Ins. Median: $2,984 (219% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,361.78 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 219% of the Medicare baseline (a markup of 119%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Self Pay	$895 - $4,604	66%
Blue Cross Blue Shield	$1,138 - $2,553	84%
Cigna	$1,268 - $3,273	93%
Aetna	$1,388 - $6,982	102%
UnitedHealthcare	$2,425 - $6,278	178%
Access Health Services, LLC	$2,425 - $5,441	178%
Multiplan	$2,798 - $6,697	205%
Healthlink	$2,798 - $6,697	205%
Coventry Wc	$2,984 - $6,697	219%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,030.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0390.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Northeast Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0390.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.