CMS Price Transparency Data

Trauma team activation

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,454
Cash Discount Price: $2,265
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at UPMC Children's Hospital of Pittsburgh is $2,454. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,265. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.80x the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$2,265

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,454

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: $2,265 (166%)

Insurance Median: $2,454 (180%)

Cash: $2,265 (166% of Medicare)

Ins. Median: $2,454 (180% 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
Aetna	$350 - $4,151	26%
UnitedHealthcare	$755 - $3,547	55%
Geisinger	$849 - $4,151	62%
Cigna	$887 - $4,151	65%
Health Plan of Upper Ohio Valley	$1,227 - $4,906	90%
Intergroup	$1,227 - $6,415	90%
Blue Cross Blue Shield	$1,338 - $12,952	98%
Amerihealth Caritas	$1,362	100%
Saudi Armed Forces	$1,510 - $6,038	111%
Coventry/First Health	$1,510 - $6,038	111%
Health Payors Organization	$1,605 - $6,415	118%
Multiplan	$1,605 - $6,415	118%
Private Health Care Systems	$1,699 - $6,792	125%
National Provider Network	$1,699 - $6,792	125%
UPMC Health Plan	$5,326 - $6,608	391%

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 $2,265.
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 UPMC Children's Hospital of Pittsburgh 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.