CMS Price Transparency Data

Trauma team activation

Facility: Southern Ocean Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $10,413
Cash Discount Price: $1,446
vs. Medicare Baseline: 7.65x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Southern Ocean Medical Center is $10,413. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,446. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 7.65x the Medicare baseline. Located in 1140 Rt 72 W, Manahawkin, NJ.

Cash / Self-Pay

$1,446

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,413

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: $1,446 (106%)

Insurance Median: $10,413 (765%)

Cash: $1,446 (106% of Medicare)

Ins. Median: $10,413 (765% 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 765% of the Medicare baseline (a markup of 665%). 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
Blue Cross Blue Shield	$1,446	106%
Vaccn	$1,446	106%
Wellcare	$1,446	106%
United Community/Americhoice	$1,518	111%
Aetna	$1,576 - $11,972	116%
UnitedHealthcare	$1,735 - $10,331	127%
Clover	$2,394	176%
Seoul Medical Group	$2,726	200%
Horizon	$8,429 - $12,158	619%
Oxford	$9,454	694%
Bergen Risk	$9,974	732%
Cigna	$10,639 - $12,718	781%
Multiplan - PHCS	$11,304	830%
Amerihealth	$11,549 - $13,081	848%
Brighton Health Plan	$11,969	879%
Qualcare	$12,075	887%

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 $1,446.
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 Southern Ocean 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.