CMS Price Transparency Data

Trauma team activation

Facility: Sheridan Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $5,700
Cash Discount Price: $6,000
vs. Medicare Baseline: 4.19x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Sheridan Memorial Hospital is $5,700. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,000. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 4.19x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$6,000

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,700

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: $6,000 (441%)

Insurance Median: $5,700 (419%)

Cash: $6,000 (441% of Medicare)

Ins. Median: $5,700 (419% 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 419% of the Medicare baseline (a markup of 319%). 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
Humana	$1,458	107%
Blue Cross Blue Shield	$4,980 - $7,470	366%
UnitedHealthcare	$5,142 - $7,713	378%
Wy School Boards-All Plans	$5,172 - $7,758	380%
Pacificsource-All Plans	$5,280 - $7,920	388%
C1 Employee - All Plans	$5,400 - $8,100	397%
Casper Opco LLC - All Plans	$5,400 - $8,100	397%
First Health Comm - All Plans	$5,400 - $8,100	397%
Miscellaneous-All Plans	$5,400 - $8,100	397%
Cigna	$5,517 - $8,370	405%
Wise Provider Network-All Plans	$5,580 - $8,370	410%
Ebms - All Plans	$5,700 - $8,550	419%
First Choice Comm - All Plans	$5,700 - $8,550	419%
PHCS Multiplan-All Plans	$5,700 - $8,550	419%
Three Rivers-All Plans	$5,700 - $8,550	419%

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 $6,000.
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 Sheridan Memorial 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.