CMS Price Transparency Data

Trauma team activation

Facility: St Josephs Community Hospital West Bend

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,721

about 1.3× the $1,362 Medicare rate · typically $1,285–$4,903

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,285

Below the fair price — a good deal

about $436 under the fair price · 0.9× Medicare

Medicare pays $1,362 Fair price $1,721 This hospital $1,285 Cash price $1,884 Hospital's list price $3,425

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $988 Priciest $1,285

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

A fair price for a Trauma team activation is about $1,721 (about 1.3× the $1,362 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $1,285, or about $1,884 in cash — below the fair price — a good deal. Located in West Bend, WI.

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	$1,130 - $2,124	83%
Blue Cross Blue Shieldmajor	$1,285 - $2,911	94%
Aetnamajor	$1,311 - $2,398	96%
Cignamajor	$3,254	239%
Humanamajor	$1,285	94%
Health Net	$2,124	156%
HealthPartners	$1,285 - $2,226	94%
Molina	$1,285	94%
Security Health Plan	$1,285	94%
+ 15 smaller / regional plans	$1,028 - $3,082

Excludes 4 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 1,884), 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 St Josephs Community Hospital West Bend 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 St Josephs Community Hospital West Bend

Compare: Trauma team activation at other WI hospitals

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