CMS Price Transparency Data

Trauma team activation

Facility: CHI Health Good Samaritan

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$2,096

about 1.5× the $1,362 Medicare rate · typically $862–$3,877

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,818

Well above the fair price

about $1,722 over the fair price · 2.8× Medicare

Medicare pays $1,362 Fair price $2,096 This hospital $3,818 Cash price $3,922 Hospital's list price $6,430

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $1,006 Priciest $3,818

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Trauma team activation is about $2,096 (about 1.5× the $1,362 Medicare rate). CHI Health Good Samaritan charges insurers about $3,818, or about $3,922 in cash — well above the fair price. Located in Kearney, NE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,096. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$372 - $7,579	27%
Blue Cross Blue Shieldmajor	$1,253	92%
Humanamajor	$1,253	92%
Ambetter (Centene)	$376 - $2,115	28%
Amerigroup	$1,078 - $1,315	79%
Medica	$1,253 - $7,779	92%
Molina	$1,099	81%
+ 9 smaller / regional plans	$869 - $8,477

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,922), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0390.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Good Samaritan is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0390.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Good Samaritan

Compare: Trauma team activation at other NE hospitals

Boys Town National Research Hospital · Boys Town $1,006
CHI Health St. Elizabeth · Lincoln $1,219
Nebraska Orthopaedic Hospital · Omaha $1,315
Mary Lanning Healthcare · Hastings $1,384
Faith Regional Health Services · Norfolk $1,426
Regional West Medical Center · Scottsbluff $1,453
Columbus Community Hospital, Inc · Columbus $1,527
The Nebraska Medical Center · Omaha $1,533

Insurance negotiated median for the same procedure, sorted lowest first.