CMS Price Transparency Data

Trauma team activation

Facility: Graham Regional Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,003
Cash Discount Price: $3,220
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Graham Regional Medical Center is $2,003. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,220. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.47x the Medicare baseline. Located in 1301 Montgomery Road, Graham, TX.

Cash / Self-Pay

$3,220

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,003

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: $3,220 (236%)

Insurance Median: $2,003 (147%)

Cash: $3,220 (236% of Medicare)

Ins. Median: $2,003 (147% 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.

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	$823 - $1,109	60%
Choicecare Network	$823 - $1,109	60%
Superior Healthplan	$823 - $1,109	60%
Wellpoint	$1,111 - $1,497	82%
Curative	$1,646 - $2,218	121%
Aetna	$1,783 - $2,403	131%
Cigna	$1,783 - $2,403	131%
Blue Cross Blue Shield	$1,865 - $2,773	137%
Three Rivers Provider Network	$2,332 - $3,142	171%
Health Advantage Network	$2,469 - $3,327	181%
Healthsmart Preferred Care	$2,469 - $3,327	181%

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 $3,220.
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 Graham Regional Medical Center 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.