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
PR CA SCREEN;PELVIC/BREAST EXAM
Boulder, CO
See all hospitals reporting HCPCS G0101 →Price type
Boulder Community Health’s median price of $50 is 48% below the median hospital's median price ($96), higher than 21% 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: 9 payers, 25 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 | Anthem medicare advantage professional · fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Devoted medicare advantage professional · fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Humana medicare advantage professional · fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Anthem commercial professional · fee schedule · both | $34 | $37 | $5 | 14% | — | $34 – $46 |
| 7 | Kaiser commercial professional · fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 8 | MultiPlan commercial professional · fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Phcs commercial professional · fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 10 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 11 | Anthem managed care professional · fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 12 | UnitedHealthcare commercial professional · fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Aetna commercial professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Aetna ppo professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 15 | UnitedHealthcare medicare advantage professional · fee schedule · both | $67 | $67 | $42 | 63% | — | $25 – $108 |
| 16 | Aetna medicare advantage facility · case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 17 | Anthem medicare advantage facility · case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 18 | Humana medicare advantage facility · case rate · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 19 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Kaiser medicare advantage facility · case rate · outpatient | $111 | $111 | $1 | 0% | — | $111 – $112 |
| 21 | Devoted medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 22 | Kaiser commercial facility · case rate · outpatient | $236 | $236 | $29 | 12% | — | $208 – $265 |
| 23 | Kaiser managed care facility · case rate · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 24 | Anthem commercial facility · case rate · outpatient | $242 | $275 | $67 | 24% | — | $210 – $384 |
| 25 | Anthem managed care facility · case rate · outpatient | $409 | $409 | — | — | — | $409 – $409 |
Last updated: Sep 16, 2026
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