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
CA screen;pelvic/breast exam
Maple Grove, MN
See all hospitals reporting HCPCS G0101 →Price type
Fairview Maple Grove Surgery Center’s median price of $49 is 49% below the median hospital's median price ($96), higher than 20% 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: 5 payers, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicare advantage fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Medica ma non-snp fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Medica ma snp fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Medica prime solution fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Medica vantage fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Cigna commercial fee schedule · both | $34 | $34 | $3 | 9% | — | $31 – $37 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Ucare ifp with fairview fee schedule · both | $65 | $65 | — | — | — | $65 – $65 |
| 12 | Ucare ifp fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Medica bold fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 14 | UnitedHealthcare commercial fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 15 | Medica choice without / elect fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 17 | Medica choice with fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 18 | Blue Cross Blue Shield federal fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 19 | Blue Cross Blue Shield commercial fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 20 | Cigna commercial fee schedule · outpatient | $103 | $103 | $9 | 9% | — | $94 – $112 |
Last updated: May 18, 2026
See Cervical and breast cancer screening exam pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.