CMS Price Transparency Data

Trauma team activation

Facility: Primary Children's Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$1,066
about 0.8× the $1,362 Medicare rate · typically $549–$1,634
modeled estimate · not a bill or quote
What this hospital charges insurers
$827
Below the fair price — a good deal
about $239 under the fair price · 0.6× Medicare
Medicare pays $1,362 Fair price $1,066 This hospital $827 Cash price $9,313 Hospital's list price $12,418

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Lowest price of the 9 UT hospitals we have prices for — a strong deal.

Cheapest $827 Priciest $1,362

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Trauma team activation is about $1,066 (about 0.8× the $1,362 Medicare rate). Primary Children's Hospital charges insurers about $827, or about $9,313 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 $1,268 - $11,846 93%
Blue Cross Blue Shieldmajor $7,835 - $12,128 575%
Aetnamajor $7,621 - $11,987 560%
Cignamajor $7,621 - $11,846 560%
Humanamajor $7,621 - $11,846 560%
Health Net $8,694 - $11,423 638%
Molina $780 - $11,846 57%
SelectHealth $780 - $11,846 57%
+ 31 smaller / regional plans $645 - $12,410
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens