CMS Price Transparency Data
Trauma team activation
Facility: Methodist Southlake Medical Center
Billing Code: G0390 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0390
- Insurance Median: $1,572
- Cash Discount Price: $1,995
- vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Trauma team activation at Methodist Southlake Medical Center is $1,572. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,995. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.15x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$1,995
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,572
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: $1,995 (146%)
Insurance Median: $1,572 (115%)
Cash: $1,995 (146% of Medicare)
Ins. Median: $1,572 (115% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $171 - $12,506 | 13% |
| Aetna | $330 - $14,294 | 24% |
| Scott & White Health Plan Trs [3062] | $343 - $12,315 | 25% |
| Bind Benefits Inc [1004] | $348 - $12,506 | 26% |
| Definity Health [3006] | $348 - $12,506 | 26% |
| Freedom Life Insurance Company [2029] | $348 - $12,506 | 26% |
| Geha Federal [3066] | $348 - $12,506 | 26% |
| Tml Intergovernmental Employee Benefits [3050] | $348 - $12,506 | 26% |
| Web Tpa [3049] | $349 - $14,294 | 26% |
| Medicaid / KanCare | $634 - $27,656 | 47% |
| Champva [1000] | $1,264 | 93% |
| Tricare | $1,264 | 93% |
| Triwest Wps [8010] | $1,264 | 93% |
| Veterans Administration [9001] | $1,264 | 93% |
| Blue Cross Blue Shield | $1,341 - $1,422 | 98% |
| Medicare (plans) | $1,341 - $1,435 | 98% |
| Ust Health Proof [1005] | $1,341 | 98% |
| Wellcare [7016] | $1,341 | 98% |
| American Health Advantage of Texas [7099] | $1,408 | 103% |
| Cigna | $1,408 - $2,481 | 103% |
| Globalhealth [1003] | $1,408 | 103% |
| Procare Advantage [7018] | $1,408 | 103% |
| Humana | $1,422 | 104% |
| Southwestern Health Resources Swhr [7015] | $1,422 | 104% |
| Provider Partners Health Plan [7025] | $1,448 | 106% |
| Alternative Service Concepts [8005] | $1,676 | 123% |
| Oscar Insurance Company [2057] | $1,744 | 128% |
| Bright Healthcare [2222] | $1,878 | 138% |
| Molina [3017] | $1,945 | 143% |
| Wellpoint Marketplace Exchange [3071] | $2,079 | 153% |
| Kempton Group Administrators, Tower Extrusions [3061] | $2,146 | 158% |
| 90 Degree Benefit [3057] | $2,213 | 163% |
| Allied National [2031] | $2,213 | 163% |
| Entrust/90 Degree [2058] | $2,213 | 163% |
| Friday Health Plan [2061] | $2,280 | 167% |
| Ambetter / Centene | $2,293 | 168% |
| Imperial Insurance Companies [3073] | $2,414 | 177% |
| Department of Labor [8004] | $2,682 | 197% |
| Evry Health [1013] | $2,682 | 197% |
| Generic Workers Comp Tx Non Par [9010] | $2,682 | 197% |
| Generic Workers Comp Tx Par [8002] | $2,682 | 197% |
| Generic Workers Comp Tx Par [9011] | $2,682 | 197% |
| Sana Benefits [3069] | $2,682 | 197% |
| Tristar Risk Management [8006] | $2,682 | 197% |
| Velocity [3070] | $2,682 | 197% |
| Health Plans Inc [5017] | $3,353 | 246% |
| Medical Cost Containment Professionals [3059] | $3,353 | 246% |
| Dart Member Care [3039] | $3,621 | 266% |
| Healthscope Benefits [2052] | $3,621 | 266% |
| Healthscope Benefits [3063] | $3,621 | 266% |