Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Ca Screen Pelvic/Breast Exam
Low
$19
Average
$70
Median
$58
High
$177
Each hospital's average Medica rate, under the methodology and billing class chosen below.
109 hospitals; the 90th percentile is 4.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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218 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $151 | $152 | $11 | 7% | 2–20 | $125 – $164 |
| 2 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $47 | $63 | $30 | 47% | 2–20 | $37 – $104 |
| 3 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $68 | $39 | 58% | 2–20 | $38 – $123 |
| 4 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $66 | $41 | 62% | 2–20 | $33 – $123 |
| 5 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $58 | $33 | 57% | 2–20 | $31 – $104 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $169 | $171 | $4 | 2% | 1–10 | $165 – $179 |
| 7 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 8 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $22 | $27 | $13 | 47% | — | $16 – $46 |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $22 | $27 | $13 | 47% | — | $16 – $46 |
| 10 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $51 | $4 | 8% | — | $47 – $55 |
| 11 | Avera Gregory Hospital Gregory, SD fee schedule · both | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 12 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 13 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $74 | $74 | $6 | 9% | — | $68 – $80 |
| 14 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $76 | $7 | 9% | — | $69 – $82 |
| 15 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $51 | $4 | 8% | — | $47 – $55 |
| 16 | Avera Missouri River Health Center Gettysburg, SD fee schedule · both | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 17 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · inpatientfrom % of charges | 2 | $74 | $74 | $6 | 9% | — | $68 – $80 |
| 18 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $75 | $7 | 10% | — | $68 – $82 |
| 19 | Avera Sacred Heart Hospital Yankton, SD fee schedule · both | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $51 | $4 | 8% | — | $47 – $55 |
| 21 | Avera St. Luke's Aberdeen, SD percent of total billed charges · inpatientfrom % of charges | 2 | $71 | $71 | $6 | 8% | — | $65 – $77 |
| 22 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $6 | 8% | — | $66 – $77 |
| 23 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · inpatientfrom % of charges | 2 | $71 | $71 | $6 | 8% | — | $65 – $77 |
| 24 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $6 | 8% | — | $66 – $77 |
| 25 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $70 | $59 | $21 | 36% | — | $23 – $75 |
← Payers reporting HCPCS G0101 · Snapshot 20261111T120946Z-9134e7f7