CMS Price Transparency Data

Trauma team activation

Facility: Stonewall Jackson Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $5,652
Cash Discount Price: $3,334
vs. Medicare Baseline: 4.15x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Stonewall Jackson Memorial Hospital is $5,652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,334. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 4.15x the Medicare baseline. Located in 230 Hospital Plaza, Weston, WV.

Cash / Self-Pay

$3,334

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,652

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: $3,334 (245%)

Insurance Median: $5,652 (415%)

Cash: $3,334 (245% of Medicare)

Ins. Median: $5,652 (415% 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 415% of the Medicare baseline (a markup of 315%). 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
Aetna	$445 - $6,032	33%
Humana	$1,272	93%
Umwa	$1,272	93%
Ves	$1,272	93%
Universal_Health	$1,310	96%
Onenet	$5,003 - $6,507	367%
Healthsmart_Accel	$5,217 - $6,786	383%
Healthsmart_Hpo	$5,217 - $6,786	383%
Sharpe	$5,217 - $6,786	383%
Healthsmart_Ppo	$5,217 - $6,786	383%
Healthsmart_Auto	$5,217 - $6,786	383%
Cigna	$5,229 - $6,801	384%
UnitedHealthcare	$5,391 - $7,012	396%
Multiplan	$5,507 - $7,163	404%
Alliance_Ppo	$5,507 - $7,163	404%
Ccn	$5,507 - $7,163	404%
Napp	$5,652 - $7,352	415%
Blue Cross Blue Shield	$5,657 - $6,013	415%
4_Most	$5,681 - $7,389	417%

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 $3,334.
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 Stonewall Jackson Memorial Hospital 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.