CMS Price Transparency Data

Trauma team activation

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $13,382
Cash Discount Price: $17,321
vs. Medicare Baseline: 9.83x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Univ. of Vermont - Fletcher Allen Health Care is $13,382. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,321. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 9.83x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$17,321

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,382

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: $17,321 (1272%)

Insurance Median: $13,382 (983%)

Cash: $17,321 (1272% of Medicare)

Ins. Median: $13,382 (983% 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 983% of the Medicare baseline (a markup of 883%). 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
Humana	$1,333 - $5,013	98%
Aetna	$1,333	98%
St. Regis	$1,333	98%
Capital District Physicians' Health Plan	$1,333 - $13,409	98%
Veterans Affairs Community Care Network	$1,333	98%
UnitedHealthcare	$1,333 - $17,623	98%
Blue Cross Blue Shield	$1,360 - $15,744	100%
Mvp	$1,367 - $16,846	100%
Martins Point	$1,367	100%
Fidelis Care	$1,467	108%
Wellpath	$2,000 - $9,846	147%
Harvard Pilgrim	$13,391 - $14,322	983%
Magnacare	$13,391 - $14,322	983%
Coventry	$14,228 - $15,217	1045%
Ebpa	$14,396 - $15,396	1057%
Nppn	$15,065 - $16,112	1106%
Cigna	$15,065 - $17,454	1106%

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 $17,321.
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 Univ. of Vermont - Fletcher Allen Health Care 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.