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HCPCS G0390

Trauma response team associated with hospital critical care service

Current codeCritical Care E&M46 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,513 – $1,6646 plans$1,202 – $4,724$3,006 – $11,810
Cascade Valley HospitalArlington$1,323 – $1,3893 plans$2,780$3,475
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,456 – $1,6018 plans$1,895 – $2,411$4,737 – $6,027
EvergreenHealth Medical CenterKirkland$1,527 – $1,5575 plans$3,897$4,871
EvergreenHealth MonroeMonroe$1,498 – $1,5275 plans$3,345 – $3,572$4,181 – $4,465
Harborview Medical CenterSeattleFile dated 2026-04-01$1,544 – $1,6985 plans$10,347$14,781
Highline Medical CenterBurienFile dated 2026-02-28$1,473 – $1,69411 plans$936 – $5,423$3,066 – $17,760
Island HospitalAnacortes$1,591 – $1,68611 plans$2,500 – $3,500$2,500 – $3,500
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,485 – $1,7827 plans$5,713 – $8,162$8,162 – $11,660
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1,530 – $1,6646 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,524 – $1,6777 plans$1,950 – $6,783$4,875 – $16,958
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,517 – $1,6697 plans$1,950 – $6,783$4,875 – $16,958
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,517 – $1,6697 plans$1,950 – $6,783$4,875 – $16,958
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,524 – $1,6777 plans$1,950 – $6,783$4,875 – $16,958
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,499 – $1,6017 plans$1,895 – $2,411$4,737 – $6,027
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,670 – $2,1485 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,548 – $1,6103 plans$3,768 – $4,188$7,535 – $8,376
PeaceHealth Southwest Medical CenteVancouver$1,485 – $1,70813 plans$15,624$24,037
PeaceHealth St John Medical CenterLongview$1,160 – $1,63614 plans$7,515 – $8,642$11,561 – $13,295
PeaceHealth St Joseph Medical CenterBellingham$1,485 – $1,6348 plans$5,881 – $6,057$9,048 – $9,319
PeaceHealth United General Medical CenterSedro Woolley—$2,355$3,623
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,485 – $1,7827 plans$10,712 – $14,283$15,303 – $20,404
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,544 – $2,4707 plans$3,273 – $5,259$6,294 – $10,113
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1,485 – $1,6345 plans$11,227$16,039
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,518 – $1,6706 plans$5,285 – $7,598$10,164 – $14,611
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,796 – $2,015$2,566 – $2,879
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,485 – $1,6346 plans$3,301 – $6,199$4,715 – $8,855
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,533 – $2,4537 plans$3,273 – $5,259$6,294 – $10,113
Skagit Valley HospitalMount Vernon$1,323 – $1,3894 plans$3,264$4,080
St Anthony HospitalGig HarborFile dated 2026-02-28$1,500 – $1,72512 plans$933 – $5,402$3,066 – $17,760
St Clare HospitalLakewoodFile dated 2026-02-28$1,500 – $1,72512 plans$884 – $5,119$3,066 – $17,760
St Elizabeth HospitalEnumclawFile dated 2026-02-28$552 – $3,90712 plans$1,083 – $6,276$3,066 – $17,760
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,473 – $1,69412 plans$962 – $5,574$3,066 – $17,760
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,443 – $1,72512 plans$1,015 – $5,882$3,066 – $17,760
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,542 – $1,66510 plans$1,353 – $7,838$3,066 – $17,760
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,518 – $1,8228 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,548 – $1,8578 plans$1,468 – $2,660$3,058 – $5,541
Swedish Medical CenterSeattleFile dated 2026-04-01$1,544 – $1,8528 plans$1,468 – $2,660$3,058 – $5,541
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,544 – $1,8528 plans$1,468 – $2,660$3,058 – $5,541
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,524 – $1,6777 plans$1,950 – $6,783$4,875 – $16,958
Three Rivers HospitalBrewster—$1,219 – $1,585$1,219 – $1,585
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,544 – $1,6985 plans$4,521 – $4,897$6,458 – $6,996
Virginia Mason Medical CenterSeattle$1,009 – $1,5139 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$3,346$3,346
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,559 – $1,7468 plans$1,936 – $2,632$4,839 – $6,581

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)