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See a sample rate comparisonHCPCS G0390 Fee Schedule
HCPCS G0390 is classified under Procedures / Professional Services, in the Other Emergency Services subgroup.
Trauma response team associated with hospital critical care service
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Emergency Services |
| Hospital Outpatient Group (APC) | APC 5045 - Trauma Response with Critical Care |
| Common Revenue Codes | 06840683Sign up to view all 6 |
National average reimbursement for HCPCS G0390 by major payers:
$563.20
BCBS / Anthem
$54.00
UnitedHealthcare
$826.43
Aetna
$984.94
Cigna
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HCPCS G0390
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$3,891.80Published rateAnna Jaques Hospital
$2,312.63Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$2,003.25Published rateOmega Hospital LLC
Omega Hospital, LLC
$1,612.27Published rateSabine Medical Center Inc, Sabine Medical Center
$1,380.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0390 vs. Other Other Emergency Services Codes
The table lists codes related to G0390. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0384-HCPCS | Level 5 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
| G0390-HCPCS | Trauma response team associated with hospital critical care service |
| G0396-HCPCS | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0390 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is HCPCS G0390 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0390 to APC 5045 (Trauma Response with Critical Care). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0390?
Hospital price transparency files list HCPCS G0390 under these revenue codes: including 0684, 0683, 0681, 0682 and 0689. A revenue code names the hospital department or charge category for the line; it does not change what the service is.