CMS Price Transparency Data

Trauma team activation

Facility: Sauk Prairie Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$1,415
about 1.0× the $1,362 Medicare rate · typically $1,209–$3,154
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,278
About the fair price
about $137 under the fair price · 0.9× Medicare
Medicare pays $1,362 Fair price $1,415 This hospital $1,278 Cash price $3,573 Hospital's list price $6,533

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 $1,278

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 $1,415 (about 1.0× the $1,362 Medicare rate). Sauk Prairie Hospital charges insurers about $1,278, or about $3,573 in cash — about the fair price. Located in Prairie Du Sac, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $1,278 - $6,896 94%
Blue Cross Blue Shieldmajor $1,278 - $6,678 94%
Humanamajor $1,278 94%
Dean Health Plan $1,278 - $2,449 94%
Quartz $1,278 - $3,485 94%
+ 1 smaller / regional plan $2,172 - $5,807

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals