CMS Price Transparency Data

Trauma team activation

Facility: Inova Fairfax Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $10,366
Cash Discount Price: $9,835
vs. Medicare Baseline: 7.61x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Inova Fairfax Hospital is $10,366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,835. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 7.61x the Medicare baseline. Located in 3300 Gallows Road, Falls Church, VA.

Cash / Self-Pay

$9,835

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,366

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,361.78

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,361.78 (100%)

Cash / Self-Pay: $9,835 (722%)

Insurance Median: $10,366 (761%)

Cash: $9,835 (722% of Medicare)

Ins. Median: $10,366 (761% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,361.78 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 761% of the Medicare baseline (a markup of 661%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$1,323 - $12,566	97%
Blue Cross Blue Shield	$1,323 - $3,617	97%
United	$1,323 - $6,778	97%
Sentara Health	$1,350 - $5,284	99%
Cigna	$1,376 - $13,616	101%
Kaiser	$1,376 - $16,446	101%
Humana	$1,455	107%
Carefirst	$10,040 - $12,229	737%
Innovation	$11,484 - $13,264	843%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $9,835.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0390.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Inova Fairfax Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0390.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.