CMS Price Transparency Data

Trauma team activation

Facility: Valley County Health System

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,589
Cash Discount Price: $2,610
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Valley County Health System is $1,589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,610. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.17x the Medicare baseline. Located in 2707 L Street, Ord, NE.

Cash / Self-Pay

$2,610

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,589

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: $2,610 (192%)

Insurance Median: $1,589 (117%)

Cash: $2,610 (192% of Medicare)

Ins. Median: $1,589 (117% 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
Medica	$580 - $2,784	43%
Great Plains	$580	43%
UnitedHealthcare	$580 - $1,392	43%
Blue Cross Blue Shield	$580 - $2,784	43%
Humana	$592	43%
Nebraska Total Care	$1,392 - $1,595	102%
Molina	$1,494 - $1,522	110%
Wellcare	$1,583	116%
Aetna	$2,784	204%
Multiplan/Phcs	$2,842	209%

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 $2,610.
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 Valley County Health System 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.