CMS Price Transparency Data

Trauma team activation

Facility: Medical City Alliance

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0390
  • Insurance Median: $4,340
  • Cash Discount Price: $24,489
  • vs. Medicare Baseline: 3.19x Medicare
The contracted insurance negotiated median rate for a Trauma team activation at Medical City Alliance is $4,340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,489. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.19x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.
Cash / Self-Pay
$24,489

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,340

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: $24,489 (1798%)
Insurance Median: $4,340 (319%)
Cash: $24,489 (1798% of Medicare)
Ins. Median: $4,340 (319% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 319% of the Medicare baseline (a markup of 219%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Superior Health Plan $1,714 126%
Blue Cross Blue Shield $2,103 - $10,873 154%
Cigna $3,306 - $3,428 243%
United $5,559 408%
Healthcare Highways $8,277 608%
Aetna $12,906 - $17,804 948%
Healthsmart Preferred Care $18,367 1349%
Independent Medical Systems $24,489 1798%
National Healthcare Solutions $24,489 1798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3101 North Tarrant Parkway, Fort Worth, TX 76177
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals