HCPCS G0390
Trauma response team associated with hospital critical care service
Current codeCritical Care E&M46 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $1,202 – $4,724 | $3,006 – $11,810 |
| Cascade Valley Hospital | $1,429 – $3,500 | $2,780 | $3,475 |
| Deaconess Medical Center | — | $1,895 – $2,411 | $4,737 – $6,027 |
| EvergreenHealth Medical Center | — | $3,897 | $4,871 |
| EvergreenHealth Monroe | $1,498 | $3,345 – $3,572 | $4,181 – $4,465 |
| Harborview Medical Center | — | $10,347 | $14,781 |
| Highline Medical Center | — | $936 – $5,423 | $3,066 – $17,760 |
| Island Hospital | $1,591 | $2,500 – $3,500 | $2,500 – $3,500 |
| Kadlec Regional Medical Center | — | $5,713 – $8,162 | $8,162 – $11,660 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $1,950 – $6,783 | $4,875 – $16,958 |
| MultiCare Auburn Medical Center | — | $1,950 – $6,783 | $4,875 – $16,958 |
| MultiCare Covington Medical Center | — | $1,950 – $6,783 | $4,875 – $16,958 |
| MultiCare Good Samaritan Hospital | — | $1,950 – $6,783 | $4,875 – $16,958 |
| MultiCare Valley Hospital | — | $1,895 – $2,411 | $4,737 – $6,027 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | $3,768 – $4,188 | $7,535 – $8,376 |
| PeaceHealth Southwest Medical Cente | $1,545 | $15,624 | $24,037 |
| PeaceHealth St John Medical Center | $1,160 – $1,561 | $7,515 – $8,642 | $11,561 – $13,295 |
| PeaceHealth St Joseph Medical Center | $1,560 | $5,881 – $6,057 | $9,048 – $9,319 |
| PeaceHealth United General Medical Center | — | $2,355 | $3,623 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $10,712 – $14,283 | $15,303 – $20,404 |
| Providence Centralia Hospital | — | $3,273 – $5,259 | $6,294 – $10,113 |
| Providence Holy Family Hospital | — | $11,227 | $16,039 |
| Providence Regional Medical Center Everett | — | $5,285 – $7,598 | $10,164 – $14,611 |
| Providence St Joseph Hospital | — | $1,796 – $2,015 | $2,566 – $2,879 |
| Providence St Mary Medical Center | — | $3,301 – $6,199 | $4,715 – $8,855 |
| Providence St Peter Hospital | — | $3,273 – $5,259 | $6,294 – $10,113 |
| Skagit Valley Hospital | — | $3,264 | $4,080 |
| St Anthony Hospital | — | $933 – $5,402 | $3,066 – $17,760 |
| St Clare Hospital | — | $884 – $5,119 | $3,066 – $17,760 |
| St Elizabeth Hospital | $521 – $3,676 | $1,083 – $6,276 | $3,066 – $17,760 |
| St Francis Community Hospital | — | $962 – $5,574 | $3,066 – $17,760 |
| St Joseph Medical Center | — | $1,015 – $5,882 | $3,066 – $17,760 |
| St Michael Medical Center | — | $1,353 – $7,838 | $3,066 – $17,760 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $1,468 – $2,660 | $3,058 – $5,541 |
| Swedish Medical Center | — | $1,468 – $2,660 | $3,058 – $5,541 |
| Swedish Medical Center / Cherry Hill | — | $1,468 – $2,660 | $3,058 – $5,541 |
| Tacoma General Allenmore Hospital | — | $1,950 – $6,783 | $4,875 – $16,958 |
| Three Rivers Hospital | $853 – $1,110 | $1,219 – $1,585 | $1,219 – $1,585 |
| University of Washington Medical Ctr | — | $4,521 – $4,897 | $6,458 – $6,996 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $3,346 | $3,346 |
| Yakima Valley Memorial | — | $1,936 – $2,632 | $4,839 – $6,581 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $1,362 (APC 5045)