CMS Price Transparency Data

Trauma team activation

Facility: Lds Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,334

about 1.0× the $1,362 Medicare rate · typically $890–$1,626

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,349

About the fair price

about $15 over the fair price · 1.0× Medicare

Medicare pays $1,362 Fair price $1,334 This hospital $1,349 Cash price $3,994 Hospital's list price $5,326

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 5 of 8 other UT hospitals charge more for the same procedure.

Cheapest $827 Priciest $1,362

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 $1,334 (about 1.0× the $1,362 Medicare rate). Lds Hospital charges insurers about $1,349, or about $3,994 in cash — about the fair price. 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	$1,349 - $4,845	99%
Blue Cross Blue Shieldmajor	$1,403 - $4,332	103%
Aetnamajor	$1,349 - $4,845	99%
Cignamajor	$3,119 - $4,845	229%
Humanamajor	$1,416	104%
Health Net	$4,209 - $4,845	309%
HealthPartners	$1,349	99%
Molina	$1,349 - $4,674	99%
SelectHealth	$1,307 - $2,884	96%
+ 34 smaller / regional plans	$1,246 - $5,130

Government programs also on file: Military & VA.

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 3,994), 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 Lds Hospital 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 Lds Hospital

Compare: Trauma team activation at other UT hospitals

Primary Children's Hospital · Salt Lake City $827
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
Holy Cross Hospital-Jordan Valley · West Jordan $1,362

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