CMS Price Transparency Data

Trauma team activation

Facility: Mountain West Medical Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,736

about 1.3× the $1,362 Medicare rate · typically $915–$2,649

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,350

Below the fair price — a good deal

about $386 under the fair price · 1.0× Medicare

Medicare pays $1,362 Fair price $1,736 This hospital $1,350 Cash price $2,159 Hospital's list price $3,599

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

A typical price — 2 charge more and 4 charge less, among the 9 UT hospitals compared.

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 $1,736 (about 1.3× the $1,362 Medicare rate). Mountain West Medical Center charges insurers about $1,350, or about $2,159 in cash — below the fair price — a good deal. Located in Tooele, 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	$2,474 - $3,068	182%
Blue Cross Blue Shieldmajor	$945 - $1,350	69%
Aetnamajor	$2,410 - $2,988	177%
Cignamajor	$2,278 - $2,825	167%
Humanamajor	$2,731 - $3,386	201%
SelectHealth	$1,350 - $2,988	99%
+ 5 smaller / regional plans	$2,089 - $3,386

Government programs also on file: Medicare.

Excludes 2 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 2,159), 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 Mountain West Medical Center 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 Mountain West Medical Center

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
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.