Prostate cancer screening (blood test)
Facility: Bmh-Calhoun
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $74
- Cash Discount Price: $50
- vs. Medicare Baseline: 3.83x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 383% of the Medicare baseline (a markup of 283%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Evaluation Services | $19 | 98% |
| Molina | $20 - $76 | 104% |
| Blue Cross Blue Shield | $22 - $43 | 114% |
| PPO Holdings | $36 | 186% |
| Magnolia Regional Health Center | $38 | 197% |
| Tricare | $39 | 202% |
| Triwest | $41 | 212% |
| Ms Breast and Cervical | $41 | 212% |
| Vaccn | $41 | 212% |
| Devoted Health | $42 | 218% |
| Primewell | $43 | 223% |
| American Health Plan | $43 | 223% |
| Shared Health | $43 | 223% |
| Aetna | $43 - $62 | 223% |
| Humana | $43 - $77 | 223% |
| Magnolia Ms | $47 | 243% |
| Littler | $48 | 249% |
| Cigna | $53 | 274% |
| First Choice Health Plan of Ms | $62 | 321% |
| Burch Food Services | $70 | 363% |
| First State Bank Trust | $70 | 363% |
| Malco Theaters | $74 | 383% |
| Arlington Community Schools | $74 | 383% |
| W W Wood Products | $74 | 383% |
| Delta Industries | $74 | 383% |
| Rei Nation | $74 | 383% |
| Desoto Co Board of Supervisors | $74 | 383% |
| Silver Tree | $74 | 383% |
| Jas D Collier | $74 | 383% |
| Dunn Investment Company | $74 | 383% |
| First Community Bank | $74 | 383% |
| Patterson Warehouses | $74 | 383% |
| French Camp Academy | $74 | 383% |
| Davidson Hospitality | $74 | 383% |
| Heartland Catfish Company | $74 | 383% |
| Ritchey Automotive | $74 | 383% |
| Minact | $74 | 383% |
| Town of Collierville | $74 | 383% |
| Retzer Resources | $74 | 383% |
| City of Lakeland | $74 | 383% |
| Bartlett City Schools | $74 | 383% |
| Hattiesburg Clinic | $74 | 383% |
| Carlisle | $74 | 383% |
| Armstrong Relocation | $74 | 383% |
| Lakeland School System | $74 | 383% |
| State Systems | $74 | 383% |
| Y K Auto Group | $74 | 383% |
| United Tn Holdings | $74 | 383% |
| Eas Mssc Schools | $74 | 383% |
| Ashley Furniture Stores | $74 | 383% |
| Hollowell Industries | $74 | 383% |
| Crittenden County | $74 | 383% |
| Radians | $74 | 383% |
| Collierville Schools | $74 | 383% |
| Security One | $74 | 383% |
| City of Bartlett | $74 | 383% |
| Mechanical Systems | $74 | 383% |
| Watkins Uiberall | $74 | 383% |
| Gossett Motor Cars | $74 | 383% |
| W G Yates | $74 | 383% |
| Heavy Machines | $74 | 383% |
| Brimhall Foods | $74 | 383% |
| Building Plastic | $74 | 383% |
| Cannon Motor Company | $74 | 383% |
| Mid-South Transport | $74 | 383% |
| Hospitality Management Advisors | $74 | 383% |
| Vaughn Electric | $74 | 383% |
| Advanced Health Systems Inc. | $77 | 399% |
| Christian Health Aid | $77 | 399% |
| PPO Plus | $82 | 425% |
| Employers Health Network | $83 | 430% |
| Harding Academy | $83 | 430% |
| Qca | $86 | 445% |
| Multiplan | $86 | 445% |