CMS Price Transparency Data

Trauma team activation

Facility: Adventist Health Castle

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $5,004
Cash Discount Price: $2,393
vs. Medicare Baseline: 3.67x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Adventist Health Castle is $5,004. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,393. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 3.67x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$2,393

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,004

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: $2,393 (176%)

Insurance Median: $5,004 (367%)

Cash: $2,393 (176% of Medicare)

Ins. Median: $5,004 (367% 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 367% of the Medicare baseline (a markup of 267%). 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
Alohacare Quest McAid - All Other Plans	$766 - $5,004	56%
Hmsa HMO	$864	63%
Hmsa PPO - All Other Plans	$864	63%
UnitedHealthcare	$1,021	75%
Medicare (plans)	$1,575	116%
Kfh McR Adv	$1,575	116%
Ohana Health Plan - All Plans	$1,606	118%
Devoted Hlth McR Adv - All Plans	$1,653	121%
Pacific Admin PPO - All Plans	$1,950 - $12,745	143%
Hwmg/Hmaa - All Plans	$2,257 - $14,749	166%
Mdx Hawaii PPO - All Plans	$2,448 - $15,997	180%
Health Alliance - All Plans	$2,453 - $16,031	180%
Kfh - All Other Plans	$2,606 - $17,033	191%
Uni Health Alliance - All Plans	$2,861 - $18,696	210%
First Health PPO - All Plans	$2,882 - $18,837	212%
Medicaid / KanCare	$3,066 - $20,039	225%
State of Hi Nonprofit - All Plans	$5,366 - $35,068	394%

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 $2,393.
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 Adventist Health Castle 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.