CMS Price Transparency Data

Trauma team activation

Facility: Texas Health Hospital Frisco

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $3,391
Cash Discount Price: $4,331
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Texas Health Hospital Frisco is $3,391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,331. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 2.49x the Medicare baseline. Located in 12400 N Dallas Parkway, Frisco, TX.

Cash / Self-Pay

$4,331

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,391

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: $4,331 (318%)

Insurance Median: $3,391 (249%)

Cash: $4,331 (318% of Medicare)

Ins. Median: $3,391 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
Amerigroup	$319 - $2,569	23%
Blue Cross Blue Shield	$319 - $10,358	23%
Parkland	$319 - $2,569	23%
UnitedHealthcare	$319 - $7,912	23%
Superior Wellcare	$335 - $2,697	25%
Molina	$345 - $2,774	25%
Aetna	$737 - $10,121	54%
Fort Worth Firefighters	$789 - $8,815	58%
City of Fort Worth	$844 - $6,786	62%
Cigna	$992 - $13,587	73%
Quick Trip	$1,077 - $9,096	79%
PHCS	$1,248 - $10,757	92%
American Health	$1,339	98%
Healthsmart	$1,346 - $12,128	99%
Healthspring	$1,366	100%
Humana	$1,393	102%
Multiplan	$1,562 - $12,562	115%
Galaxy	$1,580 - $12,706	116%
USA	$1,580 - $12,706	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 $4,331.
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 Hospital Frisco 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.