CMS Price Transparency Data

Trauma team activation

Facility: Ivinson Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $3,687
Cash Discount Price: $4,162
vs. Medicare Baseline: 2.71x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Ivinson Memorial Hospital is $3,687. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,162. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 2.71x the Medicare baseline. Located in 255 N 30Th, Laramie, WY.

Cash / Self-Pay

$4,162

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,687

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: $4,162 (306%)

Insurance Median: $3,687 (271%)

Cash: $4,162 (306% of Medicare)

Ins. Median: $3,687 (271% 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 271% of the Medicare baseline (a markup of 171%). 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
Cms	$1,323	97%
Wise Networks	$3,572 - $4,168	262%
Blue Cross Blue Shield	$3,611 - $4,213	265%
Cigna	$3,611 - $4,213	265%
Great West Life	$3,611 - $4,213	265%
Altius	$3,649 - $4,258	268%
Coventry	$3,649 - $4,258	268%
First Health	$3,649 - $4,258	268%
Midlands Choice	$3,649 - $4,258	268%
UnitedHealthcare	$3,649 - $4,258	268%
Aetna	$3,687 - $4,303	271%
Assurant	$3,687 - $4,303	271%
Health Information Network	$3,687 - $4,303	271%
Meritain	$3,687 - $4,303	271%
Rci Insurance Group	$3,687 - $4,303	271%
Starmark	$3,687 - $4,303	271%

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 $4,162.
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 Ivinson 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.