CMS Price Transparency Data

Trauma team activation

Facility: Sanford Usd Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,598
Cash Discount Price: $6,026
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Sanford Usd Medical Center is $2,598. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,026. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.91x the Medicare baseline. Located in 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD.

Cash / Self-Pay

$6,026

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,598

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: $6,026 (443%)

Insurance Median: $2,598 (191%)

Cash: $6,026 (443% of Medicare)

Ins. Median: $2,598 (191% 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	$607 - $1,722	45%
Sanford Health Plan	$691 - $3,171	51%
Health Partners	$876 - $3,486	64%
Sanford Health Plan Align	$1,257	92%
Ucare	$1,350 - $6,283	99%
Aetna	$1,363 - $6,838	100%
Medicare (plans)	$1,363	100%
UnitedHealthcare	$1,363 - $7,874	100%
Primewest	$1,389 - $1,435	102%
Security Health Plan	$1,438 - $4,916	106%
Medica	$1,762 - $6,444	129%
Multiplan	$2,353 - $8,044	173%
First Choice Health Network	$2,353 - $8,044	173%
Healthez	$2,353 - $8,044	173%

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 $6,026.
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 Sanford Usd Medical Center 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.