CMS Price Transparency Data

Trauma team activation

Facility: Rush Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $131
Cash Discount Price: $147
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Rush Memorial Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 0.10x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$147

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $147 (11%)

Insurance Median: $131 (10%)

Cash: $147 (11% of Medicare)

Ins. Median: $131 (10% 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
Blue Cross Blue Shield	$144	11%
Cigna	$157	12%
Phcs-All Plans	$157	12%
UnitedHealthcare	$157	12%
Humana	$163 - $181	12%
Consumers Life Ins-All Plans	$177	13%
Coventry/First Health-All Plans	$177	13%
Aetna	$181	13%
Siho-All Plans	$181	13%
Sagamore-All Plans	$181	13%
Multiplan-All Plans	$183	13%
Community Health Alliance-All Plans	$184	14%
Encore Health Services-All Plans	$192	14%

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 $147.
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 Rush Memorial Hospital 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.