CMS Price Transparency Data

Trauma team activation

Facility: Connecticut Childrens Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,896
Cash Discount Price: $2,009
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Connecticut Childrens Medical Center is $2,896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,009. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 2.13x the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$2,009

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,896

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: $2,009 (148%)

Insurance Median: $2,896 (213%)

Cash: $2,009 (148% of Medicare)

Ins. Median: $2,896 (213% 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 213% of the Medicare baseline (a markup of 113%). 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
Multiplan [1001126]	$2,064 - $4,066	152%
UnitedHealthcare	$2,064 - $4,018	152%
Harvard Pilgrim [1001134]	$2,064 - $4,018	152%
Wellpoint [100150]	$2,137 - $3,613	157%
Blue Cross Blue Shield	$2,137 - $3,613	157%
Unicare [100148]	$2,137 - $3,613	157%
Aetna	$2,142 - $4,022	157%
Golden Rule [100106]	$2,376 - $4,018	174%
Oxford [100103]	$2,376 - $4,018	174%
Humana	$2,379 - $4,022	175%
Meritain Health [100149]	$2,379 - $4,022	175%
Yale Health Plan [100162]	$2,379 - $4,022	175%
Nippon Life Ins Co of America [100112]	$2,379 - $4,022	175%
Government Employees Hospital Assoc [100115]	$2,379 - $4,022	175%
1199 National Benefit Fund [100134]	$2,379 - $4,022	175%
Mvp Health Plan [100144]	$2,381 - $4,133	175%
Tufts Health Plan [100114]	$2,381 - $4,133	175%
Cigna	$2,381 - $4,133	175%
Great West Healthcare [100107]	$2,381 - $4,133	175%
Health Partners [110229]	$2,381 - $4,133	175%
Generic Multiplan [1001130]	$2,405 - $4,066	177%
Cdphp/Comm [100199]	$2,405 - $4,066	177%
Ultrabenefits/Comm [100181]	$2,405 - $4,066	177%
Connecticare [100105]	$3,306 - $3,368	243%
Emblem Health Commercial [1001108]	$3,368	247%
Medicaid / KanCare	$3,368	247%

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 $2,009.
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 Connecticut Childrens 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.