CMS Price Transparency Data

Trauma team activation

Facility: McLeod Medical Center - Dillon

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $2,168
Cash Discount Price: $5,190
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at McLeod Medical Center - Dillon is $2,168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,190. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 1.59x the Medicare baseline. Located in 301 E Jackson Street Po Box 1327, Dillon, SC.

Cash / Self-Pay

$5,190

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,168

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,361.78

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,361.78 (100%)

Cash / Self-Pay: $5,190 (381%)

Insurance Median: $2,168 (159%)

Cash: $5,190 (381% of Medicare)

Ins. Median: $2,168 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,361.78 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
Tricare	$1,144	84%
Blue Cross Blue Shield	$1,205 - $5,298	88%
Medicare (plans)	$1,205	88%
UnitedHealthcare	$1,223 - $7,312	90%
Aetna	$1,235 - $7,499	91%
Humana	$1,253	92%
Clover	$1,253	92%
Molina	$1,283 - $2,349	94%
Wellcare	$1,289	95%
Allwell	$1,289	95%
Absolute Total Care	$1,289	95%
Ambetter / Centene	$2,168	159%
Cigna	$4,458 - $7,968	327%
Promise Health	$4,691	344%

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 $5,190.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0390.

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 G0390.
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.