CMS Price Transparency Data

Trauma team activation

Facility: Jfk University Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $9,515
Cash Discount Price: $1,395
vs. Medicare Baseline: 6.99x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Jfk University Medical Center is $9,515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,395. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 6.99x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$1,395

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,515

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: $1,395 (102%)

Insurance Median: $9,515 (699%)

Cash: $1,395 (102% of Medicare)

Ins. Median: $9,515 (699% 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 699% of the Medicare baseline (a markup of 599%). 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
Aetna	$1,323 - $11,925	97%
Amerigroup	$1,323 - $1,466	97%
Horizon	$1,323 - $12,359	97%
Vaccn	$1,323 - $1,466	97%
Wellcare	$1,323 - $1,466	97%
United Community/Americhoice	$1,389 - $1,539	102%
Blue Cross Blue Shield	$1,466	108%
UnitedHealthcare	$2,286 - $11,058	168%
Clover	$2,394	176%
Seoul Medical Group	$2,859	210%
Oxford - Jri@Oumc	$6,689	491%
Activecare First McO	$9,309	684%
Intergroup	$9,309	684%
Bergen Risk	$9,974	732%
Prime Health	$10,639	781%
Oxford	$11,009	808%
Multiplan - PHCS	$11,304	830%
Brighton Health Plan	$11,969	879%
Qualcare	$12,315	904%
Amerihealth	$12,581	924%
Cigna	$12,802	940%

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 $1,395.
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 Jfk University 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.