CMS Price Transparency Data

Trauma team activation

Facility: Mid-Columbia Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,192
Cash Discount Price: $817
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Mid-Columbia Medical Center is $1,192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $817. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 0.88x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$817

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,192

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: $817 (60%)

Insurance Median: $1,192 (88%)

Cash: $817 (60% of Medicare)

Ins. Median: $1,192 (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
Devoted McR Adv - All Plans	$766	56%
Molina - All Other Plans	$852	63%
Molina McR Adv	$852	63%
Molina McAid	$886	65%
Healthnet McR Adv	$1,022	75%
Employee Health Plan - All Plans	$1,192	88%
Blue Cross Blue Shield	$1,277	94%
Multiplan/Phcs - All Plans	$1,277	94%
VA Ccn Triwest - All Plans	$1,277	94%
Amerigroup McAid - All Plans	$1,703	125%
Coordinated Care McAid - All Plans	$1,703	125%
Aetna	$2,951	217%

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 $817.
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 Mid-Columbia 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.