CMS Price Transparency Data

Trauma team activation

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$2,127

about 1.6× the $1,362 Medicare rate · typically $651–$4,294

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,391

About the fair price

about $264 over the fair price · 1.8× Medicare

Medicare pays $1,362 Fair price $2,127 This hospital $2,391 Cash price $2,767 Hospital's list price $4,257

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $1,470 Priciest $2,391

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Trauma team activation is about $2,127 (about 1.6× the $1,362 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $2,391, or about $2,767 in cash — about the fair price. Located in Ontario, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$1,135 - $4,541	83%
Blue Cross Blue Shieldmajor	$505 - $3,642	37%
Aetnamajor	$1,135 - $4,479	83%
Cignamajor	$1,135 - $4,446	83%
Humanamajor	$1,135 - $4,162	83%
Ambetter (Centene)	$1,135 - $1,419	83%
Dean Health Plan	$3,406 - $4,257	250%
GEHA	$3,583 - $4,541	263%
Health Net	$1,135 - $3,973	83%
HealthPartners	$1,135 - $3,689	83%
Meridian	$1,135 - $1,419	83%
Moda Health	$3,670 - $4,588	270%
Molina	$1,135 - $1,419	83%
PacificSource	$3,557 - $4,446	261%
Paramount	$1,135 - $4,257	83%
Presbyterian	$1,135 - $1,419	83%
Priority Health	$3,557 - $4,446	261%
SelectHealth	$2,391 - $4,257	176%
Tufts Health Plan	$1,135 - $1,419	83%
WellSense	$1,135 - $1,419	83%
+ 89 smaller / regional plans	$1,135 - $4,494

Government programs also on file: Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 2,767), 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 Saint Alphonsus Medical Center Ontario 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 Saint Alphonsus Medical Center Ontario

Compare: Trauma team activation at other OR hospitals

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