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
CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION
Custer, SD
See all hospitals reporting HCPCS G0101 →Price type
Monument Health Network Inc’s median price of $114 is 19% above the median hospital's median price ($96), higher than 71% of the 1,367 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, 12 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 | Medica medica mcr adv fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Wellmark bcbs wellmark mcr adv fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 5 | Wellmark bcbs wellmark mcr adv percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 6 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 7 | Wellmark bcbs wellmark - all other plans percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 9 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | 1–10 | $123 – $123 |
| 11 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 12 | Humana humana commercial - all plans percent of total billed charges · outpatientfrom % of charges | $127 | $127 | — | — | 1–10 | $127 – $127 |
Last updated: Sep 1, 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.