CMS Price Transparency Data

Trauma team activation

Facility: Ochsner Stennis Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,198
Cash Discount Price: $1,351
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Ochsner Stennis Memorial Hospital is $1,198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,351. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 0.88x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$1,351

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,198

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: $1,351 (99%)

Insurance Median: $1,198 (88%)

Cash: $1,351 (99% of Medicare)

Ins. Median: $1,198 (88% 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.

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
Humana	$594 - $1,625	44%
UnitedHealthcare	$747 - $1,760	55%
Cigna	$836 - $1,625	61%
Medicare (plans)	$878 - $1,869	64%
Ambetter / Centene	$887 - $1,641	65%
Magnolia Health Plan – Wellcare By All Well of Mississippi	$887 - $1,641	65%
Shared Health Mississippi	$922 - $1,706	68%
Aetna	$952 - $1,760	70%
Primewell Health Services Commercial Exchange Plan	$981 - $1,814	72%
Primewell Health Services – Commercial	$981 - $1,814	72%
Medicaid / KanCare	$1,014 - $1,065	74%
Select Administrative Services Network	$1,025 - $1,896	75%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,098 - $2,031	81%
Zelis	$1,098 - $2,031	81%
Prime Health Services PPO	$1,171 - $2,166	86%
Prime Health Services PPO -Workers Comp	$1,275	94%
Cor Vel	$1,302	96%
Blue Cross Blue Shield	$2,130	156%

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 $1,351.
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 Ochsner Stennis Memorial Hospital 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.