CMS Price Transparency Data

Trauma team activation

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,946

about 1.4× the $1,362 Medicare rate · typically $1,236–$3,925

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,970

About the fair price

about $24 over the fair price · 1.4× Medicare

Medicare pays $1,362 Fair price $1,946 This hospital $1,970 Cash price $531 Hospital's list price $3,540

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $561 Priciest $1,970

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Trauma team activation is about $1,946 (about 1.4× the $1,362 Medicare rate). CHI St Lukes Health Memorial San Augustine charges insurers about $1,970, or about $531 in cash — about the fair price. Located in San Augustine, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$637 - $3,540	47%
Blue Cross Blue Shieldmajor	$1,243 - $2,370	91%
Aetnamajor	$885 - $1,207	65%
Cignamajor	$1,268 - $1,280	93%
Humanamajor	$1,207 - $2,478	89%
+ 5 smaller / regional plans	$1,338 - $3,682

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 531), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0390.

Insurance Before you use insurance

Call your insurance company to confirm CHI St Lukes Health Memorial San Augustine is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0390.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI St Lukes Health Memorial San Augustine

Compare: Trauma team activation at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.