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
$21
Average
$119
Median
$56
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 3.3× 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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128 hospital rates
iThe hospitals that file a Wellmark 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $52 | $46 | $14 | 30% | 3–30 | $22 – $58 |
| 2 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 3 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 4 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 5 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 6 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $52 | $48 | $14 | 29% | — | $25 – $61 |
| 10 | Avera Gregory Hospital Gregory, SD fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 11 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 2 | $57 | $57 | $5 | 8% | — | $52 – $61 |
| 12 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Avera Missouri River Health Center Gettysburg, SD fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 14 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · inpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 16 | Avera Sacred Heart Hospital Yankton, SD fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 17 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 18 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 19 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 20 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $52 | $48 | $14 | 29% | — | $25 – $61 |
| 21 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $52 | $48 | $14 | 29% | — | $25 – $61 |
| 22 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 24 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $52 | $44 | $14 | 33% | — | $19 – $52 |
| 25 | Floyd Valley Healthcare Le Mars, IA fee schedule · both | 2 | $57 | $57 | $5 | 8% | — | $52 – $61 |
← Payers reporting HCPCS G0101 · Snapshot 20261111T120946Z-9134e7f7