CMS Price Transparency Data

Trauma team activation

Facility: Sky Ridge Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $17,768
Cash Discount Price: $28,596
vs. Medicare Baseline: 13.05x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Sky Ridge Medical Center is $17,768. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,596. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 13.05x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$28,596

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,768

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: $28,596 (2100%)

Insurance Median: $17,768 (1305%)

Cash: $28,596 (2100% of Medicare)

Ins. Median: $17,768 (1305% 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 1305% of the Medicare baseline (a markup of 1205%). 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
Pinnacol Workers Comp	$2,107	155%
Multiplan	$2,195 - $28,627	161%
Vail Health	$3,858 - $4,835	283%
United	$5,254 - $14,313	386%
Bright Health	$7,615 - $9,542	559%
Cigna	$16,245 - $20,357	1193%
Western Plains Community Health	$16,499 - $20,675	1212%
Northcare	$17,768 - $22,265	1305%
Physician Health Partners	$17,768 - $22,265	1305%
Blue Cross Blue Shield	$18,784 - $23,538	1379%
Medical Development International	$20,307 - $25,446	1491%
Prime Health	$22,845 - $28,627	1678%

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 $28,596.
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 Sky Ridge Medical Center 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.