CMS Price Transparency Data

Trauma team activation

Facility: St Charles Medical Center Prineville

Billing Code: G0390 (HCPCS)

No verified fair price for this procedure here

This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.

modeled estimate · not a bill or quote

What each insurance company pays

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

6 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 $625 - $4,148 46%
Blue Cross Blue Shieldmajor $688 - $1,382 51%
Aetnamajor $625 - $3,905 46%
Cignamajor $625 - $2,828 46%
Humanamajor $625 - $1,257 46%
Kaiser Permanentemajor $625 - $3,887 46%
Devoted Health $625 - $1,257 46%
Health Net $625 - $4,219 46%
Moda Health $1,921 - $3,860 141%
PacificSource $893 - $2,455 66%
Providence Health Plan $1,563 - $3,927 115%
UniCare $625 - $1,257 46%
WellCare $625 - $1,257 46%
+ 61 smaller / regional plans $625 - $4,488
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals