CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: McLeod Medical Center - Dillon

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0103
Insurance Median: $21
Cash Discount Price: $144
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at McLeod Medical Center - Dillon is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 1.09x the Medicare baseline. Located in 301 E Jackson Street Po Box 1327, Dillon, SC.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$19.31

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $19.31 (100%)

Cash / Self-Pay: $144 (746%)

Insurance Median: $21 (109%)

Cash: $144 (746% of Medicare)

Ins. Median: $21 (109% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $19.31 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
Blue Cross Blue Shield	$19 - $116	98%
Medicare (plans)	$19	98%
Clover	$20	104%
UnitedHealthcare	$20 - $75	104%
Aetna	$20 - $162	104%
Humana	$20	104%
Allwell	$21	109%
Molina	$21 - $38	109%
Absolute Total Care	$21	109%
Wellcare	$21	109%
Ambetter / Centene	$35	181%
Cigna	$173	896%
Tricare	$193	999%

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 $144.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0103.

Insurance In-Network Protection Plan

Contact your insurance company to confirm McLeod Medical Center - Dillon is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0103.
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.