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
$12
Average
$73
Median
$82
High
$426
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
136 hospitals; the 90th percentile is 4.3× 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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160 hospital rates
iThe hospitals that file a Tricare 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $106 | $106 | $4 | 4% | 42 | $102 – $110 |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $104 | $104 | — | — | 2–20 | $104 – $104 |
| 3 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $28 | $28 | $6 | 20% | — | $21 – $36 |
| 5 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 6 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 7 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 10 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 14 | Boston Medical Center Boston, MA other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 16 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 17 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $32 | $32 | $7 | 20% | — | $24 – $41 |
| 19 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $109 | $109 | $0 | 0% | — | $109 – $110 |
| 20 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 21 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 25 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
← Payers reporting HCPCS G0101 · Snapshot 20261111T120946Z-9134e7f7