CMS Price Transparency Data

Trauma team activation

Facility: Good Samaritan Regional Medical Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$2,431

about 1.8× the $1,362 Medicare rate · typically $1,012–$5,233

modeled estimate · not a bill or quote

Medicare pays $1,362 Fair price $2,431 Cash price $2,840 Hospital's list price $3,550

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$4,429	325%
Aetnamajor	$1,862 - $4,930	137%
Cignamajor	$1,862 - $4,930	137%
Humanamajor	$1,911 - $5,060	140%
Health Net	$1,901 - $5,034	140%
PacificSource	$1,372 - $3,633	101%
+ 2 smaller / regional plans	$980 - $5,034

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 2,840), 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 Good Samaritan Regional Medical Center 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 Good Samaritan Regional Medical Center

Compare: Trauma team activation at other OR hospitals

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