CMS Price Transparency Data

Trauma team activation

Facility: Holy Cross Hospital - Salt Lake

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,679

about 1.2× the $1,362 Medicare rate · typically $872–$2,393

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,469

Below the fair price — a good deal

about $210 under the fair price · 1.1× Medicare

Medicare pays $1,362 Fair price $1,679 This hospital $1,469 Cash price $2,992 Hospital's list price $7,481

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $827 Priciest $1,469

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

A fair price for a Trauma team activation is about $1,679 (about 1.2× the $1,362 Medicare rate). Holy Cross Hospital - Salt Lake charges insurers about $1,469, or about $2,992 in cash — below the fair price — a good deal. Located in Salt Lake City, UT.

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	$1,226 - $7,113	90%
Blue Cross Blue Shieldmajor	$994 - $9,298	73%
Aetnamajor	$1,180 - $13,094	87%
Cignamajor	$956 - $12,397	70%
Humanamajor	$1,335	98%
Molina	$1,147 - $6,654	84%
SelectHealth	$1,768 - $10,255	130%
+ 11 smaller / regional plans	$1,141 - $15,496

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 2,992), 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 Holy Cross Hospital - Salt Lake 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 Holy Cross Hospital - Salt Lake

Compare: Trauma team activation at other UT hospitals

Primary Children's Hospital · Salt Lake City $827
Lds Hospital · Salt Lake City $1,349
Intermountain Health Logan Regional Hospital · Logan $1,349
American Fork Hospital · American Fork $1,349
Mountain West Medical Center · Tooele $1,350
Bear River Valley Hospital · Tremonton $1,350
Park City Hospital · Park City $1,350
Intermountain Health Riverton Hospital · Riverton $1,358

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