CMS Price Transparency Data

Trauma team activation

Facility: Mary Bridge Children's Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$2,820
about 2.1× the $1,362 Medicare rate · typically $782–$5,841
modeled estimate · not a bill or quote
Medicare pays $1,362 Fair price $2,820 Cash price $6,238 Hospital's list price $15,595

How we calculate the fair BaseRate →

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✓ Kaiser Permanente Humana

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 $1,529 - $12,093 112%
Blue Cross Blue Shieldmajor $1,514 - $18,233 111%
Aetnamajor $1,514 - $9,052 111%
Cignamajor $10,547 - $17,759 775%
Kaiser Permanentemajor $7,979 - $16,127 586%
Molina $1,543 - $2,719 113%
PacificSource $5,463 - $17,910 401%
WellCare $1,543 113%
+ 3 smaller / regional plans $1,617 - $16,410
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

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Facility Profile & Credentials

  • Address: 317 Martin Luther King Jr W Box 5299, Tacoma, WA 98415
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens