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
Screening Breast & Pelvic Exam
Springfield, MA
See all hospitals reporting HCPCS G0101 →Price type
Baystate Medical Center’s median price of $39 is 59% below the median hospital's median price ($96), higher than 15% of the 1,382 hospitals reporting HCPCS G0101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all commercial plans percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 2 | Blue Cross Blue Shield hmo commercial percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 3 | Blue Cross Blue Shield indemnity commercial percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 4 | Blue Cross Blue Shield medicare managed care plan fee schedule · both | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 5 | Blue Cross Blue Shield ppo commercial percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 6 | Cigna all commercial plans fee schedule · both | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 7 | First Health ppo percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 8 | MultiPlan all commercial plans percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 9 | UnitedHealthcare all commercial plans other · both | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 10 | UnitedHealthcare all commercial plans percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | 2–20 | $39 – $39 |
Last updated: Jun 5, 2026
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