CMS Price Transparency Data

Trauma team activation

Facility: Texas Health Hospital Mansfield

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $3,212
Cash Discount Price: $3,213
vs. Medicare Baseline: 2.36x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Texas Health Hospital Mansfield is $3,212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,213. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 2.36x the Medicare baseline. Located in 2300 Lone Star Road, Mansfield, TX.

Cash / Self-Pay

$3,213

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,212

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: $3,213 (236%)

Insurance Median: $3,212 (236%)

Cash: $3,213 (236% of Medicare)

Ins. Median: $3,212 (236% 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 236% of the Medicare baseline (a markup of 136%). 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	$1,304	96%
Cigna	$1,331 - $4,533	98%
Blue_Cross_Blue_Shield	$1,370	101%
Molina	$1,370	101%
United_Healthcare	$1,370 - $3,536	101%
Wellcare	$1,435	105%
Blue_Cross_Blue_Shield_Of_Kansas	$2,018 - $5,443	148%
Aetna	$3,455 - $4,897	254%

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 $3,213.
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 Mansfield 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.