CMS Price Transparency Data

Trauma team activation

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $10,688
Cash Discount Price: $12,596
vs. Medicare Baseline: 7.85x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Childrens Hospital of the Kings Daughters Inc is $10,688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,596. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 7.85x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$12,596

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,688

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: $12,596 (925%)

Insurance Median: $10,688 (785%)

Cash: $12,596 (925% of Medicare)

Ins. Median: $10,688 (785% 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 785% of the Medicare baseline (a markup of 685%). 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
Blue Cross Blue Shield	$273	20%
UnitedHealthcare	$275 - $12,551	20%
Sentara Community Plan	$322	24%
Aetna	$337 - $12,551	25%
Humana	$337	25%
Healthy Blue	$2,926 - $3,512	215%
Amerihealth Caritas	$2,926 - $3,512	215%
Carolina Complete Health	$2,985 - $3,582	219%
Wellcare	$3,014 - $3,617	221%
Sentara Health Plans	$5,891 - $7,069	433%
Cigna	$8,449 - $10,138	620%
Virginia Health Network	$8,907 - $12,215	654%
Medcost	$10,815 - $14,047	794%
First Health	$11,451 - $13,742	841%
Multiplan	$11,706 - $14,047	860%
PHCS	$11,706 - $14,505	860%
Vhn	$11,706 - $14,505	860%
Johns Hopkins Healthcare	$12,088 - $14,505	888%

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 $12,596.
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 Childrens Hospital of the Kings Daughters Inc 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.