CMS Price Transparency Data

Trauma team activation

Facility: Stephens Memorial Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$1,511
about 1.1× the $1,362 Medicare rate · typically $400–$2,989
modeled estimate · not a bill or quote
Medicare pays $1,362 Fair price $1,511 Cash price $1,530 Hospital's list price $2,185

How we calculate the fair BaseRate →

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 $787 - $2,185 58%
Blue Cross Blue Shieldmajor $1,748 - $2,620 128%
Aetnamajor $1,836 - $2,185 135%
Cignamajor $1,629 120%
Humanamajor $826 61%
+ 1 smaller / regional plan $2,763
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 200 South Geneva Street, Breckenridge, TX 76424
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals