CMS Price Transparency Data

Trauma team activation

Facility: Physicians Regional Medical Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,331

about 1.0× the $1,362 Medicare rate · typically $1,087–$1,730

modeled estimate · not a bill or quote

What this hospital charges insurers

$969

Below the fair price — a good deal

about $362 under the fair price · 0.7× Medicare

Medicare pays $1,362 Fair price $1,331 This hospital $969 Cash price $805 Hospital's list price $3,626

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 6 of 8 other TN hospitals charge more for the same procedure.

Cheapest $795 Priciest $1,269

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

A fair price for a Trauma team activation is about $1,331 (about 1.0× the $1,362 Medicare rate). Physicians Regional Medical Center charges insurers about $969, or about $805 in cash — below the fair price — a good deal. Located in Powell, TN.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$349 - $3,626	26%
Blue Cross Blue Shieldmajor	$703	52%
Aetnamajor	$1,588	117%

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 805), 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 Physicians 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 Physicians Regional Medical Center

Compare: Trauma team activation at other TN hospitals

St Jude Childrens Research Hospital · Memphis $795
Marshall Medical Center · Lewisburg $840
University Health System, Inc · Knoxville $1,208
Maury Regional Hospital · Columbia $1,241
Erlanger Medical Center · Chattanooga $1,250
Morristown Hamblen Hospital Association · Morristown $1,269
Roane Medical Center · Harriman $1,269
Methodist Medical Center of Oak Ridge · Oak Ridge $1,269

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