Cervical or vaginal cancer screening; pelvic and clinical breast examination
Medicare pricing data for 42,559 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS code G0101) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.17, but hospitals typically charge $101.53 — a 2.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.17, your out-of-pocket cost would be approximately $7.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $38.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $46 | $134 | 90 | 501 | +19.6% |
| District of Columbia | $44 | $79 | 128 | 2,636 | +14.2% |
| New York | $43 | $136 | 2,937 | 83,931 | +12.3% |
| New Jersey | $42 | $104 | 1,302 | 46,186 | +10.9% |
| California | $42 | $101 | 3,195 | 51,517 | +9.4% |
| Connecticut | $42 | $89 | 602 | 14,942 | +9.2% |
| Maryland | $41 | $87 | 924 | 24,117 | +6.8% |
| Rhode Island | $40 | $115 | 147 | 3,359 | +3.6% |
| Hawaii | $39 | $140 | 183 | 4,093 | +2.7% |
| Massachusetts | $39 | $124 | 1,492 | 22,907 | +2.2% |
| Florida | $39 | $115 | 3,014 | 65,860 | +1.2% |
| Colorado | $38 | $88 | 668 | 5,269 | +0.7% |
| Illinois | $38 | $102 | 1,526 | 24,695 | +0.7% |
| Virginia | $38 | $93 | 1,342 | 28,663 | -0.2% |
| Delaware | $38 | $132 | 296 | 7,011 | -1.0% |
| Michigan | $38 | $92 | 1,567 | 17,178 | -1.3% |
| Nevada | $38 | $103 | 392 | 4,680 | -1.5% |
| Puerto Rico | $37 | $48 | 103 | 664 | -1.9% |
| Pennsylvania | $37 | $107 | 2,559 | 58,928 | -2.2% |
| Texas | $37 | $93 | 2,848 | 38,235 | -3.1% |
| Washington | $37 | $105 | 672 | 3,775 | -3.1% |
| Georgia | $37 | $94 | 1,143 | 21,085 | -3.5% |
| Arizona | $36 | $80 | 784 | 11,087 | -4.8% |
| Oregon | $36 | $116 | 584 | 4,338 | -5.0% |
| Utah | $36 | $106 | 161 | 1,090 | -5.2% |
| Wyoming | $36 | $120 | 88 | 1,009 | -6.0% |
| North Carolina | $36 | $103 | 1,518 | 21,025 | -6.1% |
| South Carolina | $36 | $90 | 694 | 14,893 | -6.6% |
| Minnesota | $36 | $123 | 463 | 2,050 | -6.7% |
| Missouri | $35 | $90 | 889 | 14,815 | -7.1% |
| Ohio | $35 | $83 | 1,812 | 28,596 | -8.3% |
| New Mexico | $35 | $85 | 200 | 1,836 | -8.3% |
| New Hampshire | $35 | $103 | 280 | 3,827 | -8.9% |
| Oklahoma | $35 | $74 | 514 | 6,314 | -9.0% |
| Tennessee | $34 | $86 | 1,096 | 18,726 | -10.0% |
| Mississippi | $34 | $65 | 275 | 11,152 | -10.0% |
| Indiana | $34 | $77 | 979 | 13,841 | -10.1% |
| Alabama | $34 | $74 | 564 | 12,895 | -10.4% |
| Kentucky | $34 | $76 | 580 | 9,938 | -11.0% |
| Kansas | $34 | $88 | 456 | 5,608 | -11.3% |
| Wisconsin | $34 | $127 | 595 | 3,809 | -11.5% |
| Arkansas | $34 | $80 | 373 | 7,350 | -11.9% |
| Nebraska | $34 | $86 | 319 | 4,012 | -12.2% |
| Louisiana | $33 | $83 | 601 | 15,520 | -12.7% |
| West Virginia | $33 | $91 | 260 | 4,175 | -13.7% |
| Montana | $32 | $68 | 199 | 1,591 | -15.9% |
| Iowa | $32 | $95 | 443 | 4,329 | -16.6% |
| North Dakota | $32 | $84 | 97 | 780 | -16.8% |
| Maine | $32 | $70 | 146 | 1,437 | -17.3% |
| Vermont | $30 | $64 | 91 | 1,488 | -20.2% |
| Idaho | $30 | $67 | 188 | 1,398 | -21.8% |
| South Dakota | $30 | $60 | 151 | 1,024 | -22.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber