CMS Price Transparency Data

Trauma team activation

Facility: Children's Hosp of Los Angeles

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0390
  • Insurance Median: $919
  • Cash Discount Price: $2,452
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Trauma team activation at Children's Hosp of Los Angeles is $919. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,452. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 0.67x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$2,452

Average discount available for prompt cash payment at this facility.

Insurance Median
$919

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: $2,452 (180%)
Insurance Median: $919 (67%)
Cash: $2,452 (180% of Medicare)
Ins. Median: $919 (67% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medi-Cal $138 - $598 10%
Serendib Healthways Mmc $138 - $3,985 10%
Inland Empire Health Plan $138 - $598 10%
Molina $138 - $2,590 10%
Medicaid / KanCare $276 - $3,985 20%
Shriners Hospital $276 - $1,196 20%
St Francis Medical Center $276 - $3,985 20%
Hollywood Presbyterian Medical Center $322 - $3,985 24%
Pacific Alliance Medical Center $349 - $3,985 26%
Valley Presbyterian Hospital $349 - $3,985 26%
Superior Choice Medical Group $368 - $3,985 27%
Serra Community Med Clinic $368 - $3,985 27%
Non-Contract Payors $368 - $1,594 27%
Choc Health Alliance $368 - $1,594 27%
Beech Street $368 - $1,594 27%
Blue Shield $380 - $3,985 28%
Health Net $383 - $14,005 28%
Premier Physicians Ntwk $386 - $3,985 28%
Healthy New Life Medical Corp $386 - $3,985 28%
Karing Physicians Medical Group $386 - $3,985 28%
Alhambra Hospital Medical Center $386 - $3,985 28%
Asian Community Medical Group $386 - $3,985 28%
Noble Community Medical Associates $386 - $3,985 28%
Primary Care and Pediatric IPA $386 - $3,985 28%
Accountable Health $386 - $3,985 28%
California Pacific Physicians Medical Group $386 - $3,985 28%
Cencal Health $386 - $3,985 28%
Applecare Medical Group $386 - $3,985 28%
Family Health Alliance Med Grp $386 - $3,985 28%
Global Care Medical Group $386 - $3,985 28%
Mabuhay Medical Group $386 - $3,985 28%
San Judas Med Grp $386 - $3,985 28%
Watts Healthcare Mmc $386 - $3,985 28%
Exceptional Care Medical Group $386 - $3,985 28%
Los Angeles Medical Center IPA $386 - $3,985 28%
Centinela Valley IPA $386 - $3,985 28%
Dignity Health $386 - $3,985 28%
Bella Vista Med Grp $386 - $3,985 28%
Avalon IPA $386 - $3,985 28%
Souther California Hosp System - Mmc $386 - $3,985 28%
El Proyecto Del Barrio $386 - $3,985 28%
Care 1St $386 - $3,985 28%
Health Care La IPA $386 - $3,985 28%
Regent Medical Group $386 - $3,985 28%
Emanate Health Medical Center Mmc $414 - $1,793 30%
Beverly Hospital $414 - $3,985 30%
Gold Coast Health Plan $414 - $3,985 30%
Preferred IPA $414 - $3,985 30%
Heritage Provider Network $423 - $3,985 31%
Kaiser $428 - $2,271 31%
Cigna $429 - $1,861 32%
Employee Health Systems Med Grp $432 - $3,985 32%
Angeles IPA $432 - $3,985 32%
Seaside Health Plan $432 - $3,985 32%
Adventist Health Physicians $432 - $3,985 32%
Crown City Medical Group $432 - $3,985 32%
Community Care IPA Mmc $432 - $3,985 32%
Axminster Medical Group $441 - $1,913 32%
St. John's Health Clinic $441 - $1,913 32%
Facey Medical Group $441 - $1,913 32%
Accarent Health $460 - $1,992 34%
Gemcare IPA $460 - $1,992 34%
Altamed $460 - $3,985 34%
UnitedHealthcare $460 - $12,389 34%
Sansum Clinic $460 - $1,000 34%
Incentive Health Network $460 - $1,992 34%
La Care $460 - $3,985 34%
Pioneer Prov Ntwk $460 - $1,992 34%
Staywell Insurance $460 - $1,992 34%
Managed Care Systems $460 - $1,992 34%
Family Care Specialists $460 - $3,985 34%
Citrus Valley Phys Grp $460 - $2,590 34%
Mercy Care $460 - $1,992 34%
Book Md $478 - $2,072 35%
Good Samaritan Medical Group $487 - $2,112 36%
Intl - Global Medical Management $505 - $2,192 37%
Choice Medical Group $505 - $2,192 37%
National Healthcare Solutions $505 - $2,192 37%
Intl - Quality Health Management $505 - $2,590 37%
Community Care $505 - $2,192 37%
Providence Health Network $505 - $2,192 37%
Culinary Health Fund $505 - $2,192 37%
Aetna $505 - $9,922 37%
Intl - Global Excel Management $505 - $2,590 37%
Blue Cross Blue Shield $537 - $3,985 39%
Seoul Medical Group $542 - $2,351 40%
Access Medical Group $542 - $2,351 40%
Ventura County Health Plan $551 - $2,391 40%
Allied Pacific IPA $551 - $3,985 40%
Self-Pay $551 - $2,391 40%
Preferred IPA - Commercial $551 - $2,391 40%
Hispanic Physician IPA $551 - $3,985 40%
Kern Family Health Plan $551 - $3,985 40%
Bright Medical Associates $551 - $2,391 40%
Sanus Health $551 - $2,391 40%
Private Hlthcare System $551 - $2,391 40%
Delta Health Systems $551 - $2,590 40%
Emanate Health Medical Center Commercial $551 - $2,391 40%
Southern Atlantic Medical Group Mmc $551 - $3,985 40%
Sierra Health and Life Insurance Company $575 - $2,495 42%
Redlands Community Hospital $597 - $2,590 44%
Embassy - Saudi Arabia $597 - $2,590 44%
Intl - Erv Travel Services $597 - $2,790 44%
Lakewood Health Plan $597 - $2,590 44%
Plotkin Health $597 - $2,590 44%
Intl - Msh China Enterprise Services $597 - $2,590 44%
Cedar Sinai Med Grp $597 - $2,590 44%
Intl - Aixin Life Insurance Co $597 - $2,590 44%
Axis Services International $597 - $2,590 44%
Marian Health Services $597 - $2,590 44%
Prime Health Services $597 - $2,590 44%
Imperial Health Holdings Medical Group $597 - $3,985 44%
Intl - Concierge Healthcare Services $597 - $2,590 44%
Star Healthcare Network Commercial $597 - $2,590 44%
Serra Community Med Clinic - Commercial $597 - $2,590 44%
Calvo Selectcare $597 - $2,590 44%
Korean American Med Grp $643 - $2,790 47%
Primecare Medical Network $643 - $2,790 47%
Multiplan $643 - $2,790 47%
Memorialcare Med Foundation $643 - $2,790 47%
Beaver Medical Group $643 - $2,790 47%
Prospect Medical Group $689 - $2,989 51%
Embassy - Kuwait $689 - $2,989 51%
Interlink Health Services $689 - $2,989 51%
Associated Hispanic Physicians IPA $689 - $3,985 51%
Self-Pay International $735 - $3,188 54%
Embassy - All Others $735 - $3,188 54%
Caloptima $919 - $3,985 67%
Cal Care IPA $919 - $3,985 67%
Champus $919 - $3,985 67%
Community Family Care IPA $919 - $3,985 67%
Southland San Gabriel Valley Medical Group $919 - $3,985 67%
White Memorial Medical Center $919 - $3,985 67%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4650 Sunset Blvd, Ms 108, Los Angeles, CA 90027
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens