CMS Price Transparency Data

Trauma team activation

Facility: Trinity Rock Island

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,301
Cash Discount Price: $5,143
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Trinity Rock Island is $2,301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,143. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.69x the Medicare baseline. Located in 2701 17Th St, Rock Island, IL.

Cash / Self-Pay

$5,143

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,301

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: $5,143 (378%)

Insurance Median: $2,301 (169%)

Cash: $5,143 (378% of Medicare)

Ins. Median: $2,301 (169% 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.

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
Iowa Total Care	$1,029	76%
Bc Illinois Community	$1,297	95%
Blue Cross Blue Shield	$1,379 - $2,892	101%
Aetna	$1,407 - $3,754	103%
Health Alliance	$1,407	103%
Medicare (plans)	$1,407	103%
Humana	$1,448	106%
Amerivantage	$1,448	106%
UnitedHealthcare	$1,448 - $3,472	106%
Meridian Health Plan	$1,448	106%
Health Partners Open Network	$1,922	141%
Ambetter / Centene	$2,207	162%
Medica Exchange Inspire	$2,294 - $2,772	168%
Wellmark Uph Self-Funded	$2,393 - $2,892	176%
Medica Exchange Insure	$2,568 - $3,103	189%
Cigna	$3,068 - $3,708	225%

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 $5,143.
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 Trinity Rock Island 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.