CMS Price Transparency Data

Trauma team activation

Facility: South Lincoln Medical Center - Cah

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $4,785
Cash Discount Price: $5,037
vs. Medicare Baseline: 3.51x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at South Lincoln Medical Center - Cah is $4,785. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,037. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.51x the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.

Cash / Self-Pay

$5,037

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,785

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: $5,037 (370%)

Insurance Median: $4,785 (351%)

Cash: $5,037 (370% of Medicare)

Ins. Median: $4,785 (351% 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 351% of the Medicare baseline (a markup of 251%). 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
Aetna	$2,619 - $7,976	192%
Blue Cross Blue Shield	$2,619 - $7,052	192%
Humana	$2,619 - $4,366	192%
Altius Health Plans - All Plans	$4,534 - $7,556	333%
Cigna	$4,534 - $7,556	333%
Great West Healthcare - All Plans	$4,534 - $7,556	333%
Integrated Hp - All Plans	$4,534 - $7,556	333%
UnitedHealthcare	$4,534 - $7,556	333%
Winhealth Partners - All Plans	$4,534 - $7,556	333%
Ccn - All Plans	$4,785 - $7,976	351%
Geha - All Plans	$4,785 - $7,976	351%
Health Infonet/First Choice - All Plans	$4,785 - $7,976	351%
Three Rivers - All Plans	$4,785 - $7,976	351%

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 $5,037.
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 South Lincoln Medical Center - Cah 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.