CMS Price Transparency Data

Trauma team activation

Facility: Community Hospital

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,561
Cash Discount Price: $1,803
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Community Hospital is $2,561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,803. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.88x the Medicare baseline. Located in 2000 Campbell Drive, Torrington, WY.

Cash / Self-Pay

$1,803

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,561

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: $1,803 (132%)

Insurance Median: $2,561 (188%)

Cash: $1,803 (132% of Medicare)

Ins. Median: $2,561 (188% 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
UnitedHealthcare	$1,162 - $3,767	85%
Banner Health	$1,162 - $1,745	85%
Cigna	$1,162 - $3,846	85%
Humana	$1,162 - $1,745	85%
Triwest Healthcare Alliance Corp - VA Ccn	$1,162 - $1,745	85%
Naphcare	$1,162 - $1,745	85%
Prime Health Services	$1,185 - $3,886	87%
Interwest Health	$1,185 - $3,886	87%
Medica	$1,188 - $3,763	87%
Hue Health, Inc	$2,508 - $3,767	184%
Blue Cross Blue Shield	$2,508 - $3,767	184%
Imagine Health, LLC (Wka Wise Provider Network)	$2,508 - $3,767	184%
First Choice Health Network	$2,508 - $3,767	184%
Mountain Health Cooperative (Co-Op)	$2,508 - $3,767	184%
Coventry	$2,534 - $3,806	186%
Midlands Choice	$2,534 - $3,806	186%
First Health	$2,534 - $3,806	186%
Multiplan	$2,561 - $3,846	188%

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 $1,803.
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 Community 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.