CMS Price Transparency Data

Trauma team activation

Facility: The University Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $7,187
Cash Discount Price: $1,736
vs. Medicare Baseline: 5.28x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at The University Hospital is $7,187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,736. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 5.28x the Medicare baseline. Located in 150 Bergen St, Newark, NJ.

Cash / Self-Pay

$1,736

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,187

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: $1,736 (127%)

Insurance Median: $7,187 (528%)

Cash: $1,736 (127% of Medicare)

Ins. Median: $7,187 (528% 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 528% of the Medicare baseline (a markup of 428%). 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	$1,509 - $7,187	111%
Amerihealth	$1,509 - $15,912	111%
Clover Health	$1,509	111%
Fidelis	$1,509 - $7,187	111%
Horizon	$1,509 - $3,023	111%
UnitedHealthcare	$1,509 - $7,187	111%
Wellpoint	$7,329	538%
First Health	$17,136	1258%
Americare	$18,360	1348%
Qualcare	$18,360	1348%
Correctional Medical Services	$19,584	1438%
Multiplan	$19,584	1438%
First Trenton	$22,032	1618%
Managed Care Inc	$22,032	1618%
Consumer Health Network	$23,256	1708%
Three Rivers	$23,256	1708%

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 $1,736.
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 The University 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.