CMS Price Transparency Data

Trauma team activation

Facility: Cody Regional Health

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $4,960
Cash Discount Price: $6,803
vs. Medicare Baseline: 3.64x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Cody Regional Health is $4,960. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,803. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.64x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$6,803

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,960

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: $6,803 (500%)

Insurance Median: $4,960 (364%)

Cash: $6,803 (500% of Medicare)

Ins. Median: $4,960 (364% 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 364% of the Medicare baseline (a markup of 264%). 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
Tricare	$2,400 - $4,963	176%
Cigna	$4,141 - $8,563	304%
Christian Hlthcare - All Plans	$4,174 - $8,631	307%
Blue Cross Blue Shield	$4,487 - $10,250	329%
First Choice Health - All Plans	$4,696 - $9,710	345%
Medica Comm - All Other Plans	$4,696 - $9,710	345%
Mountain Health - All Plans	$4,696 - $9,710	345%
Pacific Source - All Plans	$4,696 - $9,710	345%
Rocky Mtn Admin - All Plans	$4,696 - $9,710	345%
Interwest Health PPO - All Plans	$4,800 - $9,926	352%
First Health Ntwrk-All Plans	$4,853 - $10,034	356%
Humana	$4,853 - $10,034	356%
UnitedHealthcare	$4,853 - $10,034	356%
Three Rivers - All Plans	$4,957 - $10,250	364%

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 $6,803.
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 Cody Regional Health 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.