CMS Price Transparency Data

Trauma team activation

Facility: Children's Hospital of Philadelphia

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $18,896
Cash Discount Price: $44,090
vs. Medicare Baseline: 13.88x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Children's Hospital of Philadelphia is $18,896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44,090. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 13.88x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$44,090

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,896

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: $44,090 (3238%)

Insurance Median: $18,896 (1388%)

Cash: $44,090 (3238% of Medicare)

Ins. Median: $18,896 (1388% 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 1388% of the Medicare baseline (a markup of 1288%). 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
Medicaid / KanCare	$6,236 - $8,314	458%
UnitedHealthcare	$6,273 - $27,714	461%
Health Partners	$7,124 - $9,498	523%
Aetna	$9,947 - $25,194	730%
UPMC Medical Assistance	$10,317 - $13,756	758%
Highmark Wholecare	$10,317 - $13,756	758%
Keystone First Chip	$11,715 - $15,621	860%
Keystone Health Plan East	$11,950 - $15,933	878%
Blue Cross Blue Shield	$13,340 - $20,186	980%
Geisinger Medical Assistance	$15,117 - $20,156	1110%
Geisinger Health Plan Commercial	$16,628 - $22,171	1221%
Jefferson Health Plans	$17,875 - $23,834	1313%
Highmark	$18,896 - $25,194	1388%
Cigna	$18,896 - $25,194	1388%
Qualcare	$20,785 - $27,714	1526%
First Health Network	$24,565 - $32,753	1804%
Private Health Care Systems	$30,233 - $40,311	2220%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$30,233 - $40,311	2220%
Choice Care Network	$34,013 - $45,350	2498%

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 $44,090.
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 Children's Hospital of Philadelphia 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.