CMS Price Transparency Data

Trauma team activation

Facility: Texas Health Harris Methodist Hospital Alliance

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,154
Cash Discount Price: $2,902
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Texas Health Harris Methodist Hospital Alliance is $2,154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,902. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.58x the Medicare baseline. Located in 10864 Texas Health Trail, Fort Worth, TX.

Cash / Self-Pay

$2,902

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,154

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: $2,902 (213%)

Insurance Median: $2,154 (158%)

Cash: $2,902 (213% of Medicare)

Ins. Median: $2,154 (158% 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	$184 - $1,408	14%
Blue Cross Blue Shield	$184 - $7,318	14%
Cook Childrens	$184 - $1,238	14%
UnitedHealthcare	$184 - $6,608	14%
Superior Wellcare	$194 - $1,475	14%
Molina	$199 - $1,408	15%
Aetna	$203 - $8,453	15%
Fort Worth Firefighters	$789 - $7,362	58%
City of Fort Worth	$844 - $5,668	62%
Cigna	$992 - $11,347	73%
Quick Trip	$1,077 - $7,597	79%
PHCS	$1,248 - $8,984	92%
American Health	$1,341	98%
Healthsmart	$1,346 - $10,129	99%
Healthspring	$1,368	100%
Humana	$1,395	102%
Multiplan	$1,562 - $10,491	115%
Galaxy	$1,580 - $10,612	116%
USA	$1,580 - $10,612	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 $2,902.
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 Harris Methodist Hospital Alliance 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.