CMS Price Transparency Data

Trauma team activation

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $4,602
Cash Discount Price: $4,729
vs. Medicare Baseline: 3.38x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Baylor Scott & White Medical Center - Marble Falls is $4,602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,729. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.38x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.

Cash / Self-Pay

$4,729

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,602

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: $4,729 (347%)

Insurance Median: $4,602 (338%)

Cash: $4,729 (347% of Medicare)

Ins. Median: $4,602 (338% 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 338% of the Medicare baseline (a markup of 238%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Superior Health Plan	$177 - $2,408	13%
UnitedHealthcare	$486 - $6,595	36%
Cigna	$507 - $8,067	37%
Aetna	$542 - $7,358	40%
Midcoast	$542 - $7,358	40%
Quiktrip	$542 - $7,358	40%
Independent Medical System	$591 - $8,027	43%
Curative	$641 - $8,696	47%
First Health	$690 - $9,365	51%
Healthsmart	$690 - $10,034	51%
Humana	$690 - $9,365	51%
Bluebell Creameries	$739 - $10,034	54%
Private Health Care System	$739 - $10,034	54%
Three Rivers	$887 - $12,040	65%
Baylor Scott & White Health Plan	$1,147 - $7,377	84%
Triwest	$1,207	89%
Corvel	$1,265	93%
Prime Health Services	$1,265	93%
American Health Plan	$1,268	93%
Blue Cross Blue Shield	$1,268 - $3,083	93%
Healthspring	$1,268	93%
Procare Advantage	$1,268	93%
Sedgwick	$1,805	133%

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 $4,729.
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 Baylor Scott & White Medical Center - Marble Falls 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.