CMS Price Transparency Data

Trauma team activation

Facility: Texas Health Presbyterian Hospital Rockwall

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,338
Cash Discount Price: $1,077
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Texas Health Presbyterian Hospital Rockwall is $1,338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,077. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 0.98x the Medicare baseline. Located in 3150 Horizon Road, Rockwall, TX.

Cash / Self-Pay

$1,077

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,338

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: $1,077 (79%)

Insurance Median: $1,338 (98%)

Cash: $1,077 (79% of Medicare)

Ins. Median: $1,338 (98% 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
Amerigroup	$172 - $1,406	13%
Blue Cross Blue Shield	$172 - $7,318	13%
Parkland	$172	13%
UnitedHealthcare	$172 - $1,513	13%
Superior Wellcare	$181 - $1,473	13%
Molina	$186 - $1,406	14%
Aetna	$737 - $1,258	54%
Fort Worth Firefighters	$789 - $1,096	58%
City of Fort Worth	$844	62%
Cigna	$992 - $1,689	73%
Quick Trip	$1,077 - $1,131	79%
PHCS	$1,248 - $1,337	92%
American Health	$1,339	98%
Healthsmart	$1,346 - $1,508	99%
Healthspring	$1,366	100%
Humana	$1,393	102%
Multiplan	$1,562	115%
Galaxy	$1,580	116%
USA	$1,580	116%

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 $1,077.
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 Texas Health Presbyterian Hospital Rockwall 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.