CMS Price Transparency Data

Trauma team activation

Facility: UPMC Mercy

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,355

about 1.0× the $1,362 Medicare rate · typically $888–$1,536

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,362

About the fair price

about $7 over the fair price · 1.0× Medicare

Medicare pays $1,362 Fair price $1,355 This hospital $1,362 Cash price $7,021 Hospital's list price $11,701

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $657 Priciest $1,362

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Trauma team activation is about $1,355 (about 1.0× the $1,362 Medicare rate). UPMC Mercy charges insurers about $1,362, or about $7,021 in cash — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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	$1,362 - $6,882	100%
Aetnamajor	$1,325 - $5,505	97%
Cignamajor	$3,277 - $8,258	241%
AmeriHealth	$1,362	100%
UPMC Health Plan	$1,052 - $5,326	77%
+ 7 smaller / regional plans	$1,362 - $12,387

Excludes 2 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 7,021), 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 UPMC Mercy 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 UPMC Mercy

Compare: Trauma team activation at other PA hospitals

Jefferson Lansdale Hospital · Lansdale $657
UPMC Muncy · Muncy $899
UPMC Wellsboro · Wellsboro $899
Penn Highlands Connellsville · Connellsville $1,286
UPMC Williamsport · Williamsport $1,299
St Mary Medical Center · Langhorne $1,307
Geisinger Wyoming Valley Medical Center · Wilkes Barre $1,313
Advanced Surgical Hospital · Washington $1,324

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