CMS Price Transparency Data

Trauma team activation

Facility: Preston Memorial Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $1,678
Cash Discount Price: $1,094
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Preston Memorial Hospital is $1,678. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,094. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.23x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$1,094

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,678

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: $1,094 (80%)

Insurance Median: $1,678 (123%)

Cash: $1,094 (80% of Medicare)

Ins. Median: $1,678 (123% 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
Advantra	$1,312	96%
Uhc_Va	$1,312	96%
Medicare (plans)	$1,312 - $1,772	96%
Aetna	$1,312 - $1,969	96%
Humana	$1,312	96%
UPMC	$1,378	101%
Medicaid / KanCare	$1,422 - $1,493	104%
Blue_Cross_Highmark_Aca	$1,591	117%
Blue_Cross_Highmark_Ppo	$1,766	130%
Blue_Cross_Highmark_Pos	$1,766	130%
Blue_Cross_Highmark_Traditional	$1,938	142%
UnitedHealthcare	$1,969	145%
Cigna	$2,012	148%
Geha	$2,078	153%
4_Most	$2,122	156%
Health	$2,122	156%

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 $1,094.
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 Preston 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.