CMS Price Transparency Data

Trauma team activation

Facility: White Rock Medical Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,703

about 1.3× the $1,362 Medicare rate · typically $1,409–$3,751

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,339

Below the fair price — a good deal

about $364 under the fair price · 1.0× Medicare

Medicare pays $1,362 Fair price $1,703 This hospital $1,339 Cash price $4,217 Hospital's list price $6,202

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $561 Priciest $1,339

Black dot = this hospital, among the 9 TX 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 $1,703 (about 1.3× the $1,362 Medicare rate). White Rock Medical Center charges insurers about $1,339, or about $4,217 in cash — below the fair price — a good deal. Located in Dallas, TX.

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✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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	$1,339 - $2,835	98%
Cignamajor	$1,339 - $5,103	98%
Humanamajor	$1,339	98%
Amerigroup	$478 - $1,339	35%
Baylor Scott & White	$1,339 - $3,544	98%
Molina	$1,339 - $5,103	98%
WellCare	$1,339	98%
WellMed	$1,339	98%
+ 3 smaller / regional plans	$1,339 - $5,103

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 4,217), 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 White Rock 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 White Rock Medical Center

Compare: Trauma team activation at other TX hospitals

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