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Cost Guide G0101 · HCPCS Level II

How much does Cancer screening with pelvic and breast examination cost?

Medicare pays $24.

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

3 care settings compared
CMS Medicare benchmark data
Updated 2026-04-03
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Medicare rateAverage chargeHigh end$0$102
$93
Above average
Average hospital charge vs. benchmarks: $25 (Medicare rate) · $93 (Average charge)
$25
Medicare rate
$93
Avg hospital charge
$68
Price spread
Rate comparison — Cancer screening with pelvic and breast examination
Medicare facility$25Hospital outpatient$93Avg chargemaster$93Non-facility$99$74 difference between lowest and highest rate
Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

Cost by care setting

Setting Medicare rate
Hospital outpatient (facility) $25
Physician office (non-facility) $99
Hospital outpatient (APC) $93

What affects the cost?

How to save on Cancer screening with pelvic and breast examination

  • 1 Request a detailed cost estimate in writing before any procedure
  • 2 Compare prices at multiple facilities — costs can vary 5–10x for the same procedure
  • 3 Ask about cash-pay discounts (often 30–60% off chargemaster rates)
  • 4 After receiving a bill, compare each line item against Medicare benchmark rates
Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — Cancer screening with pelvic and breast examination cost

What is a fair price for Ca screen;pelvic/breast exam?
Medicare pays $24 for Ca screen;pelvic/breast exam (G0101). This is the government benchmark rate. A fair price for commercially insured or cash-pay patients is typically 1.2–2.5x the Medicare rate, or roughly $29–$62.
How can I lower my cost for Ca screen;pelvic/breast exam?
To lower your cost: (1) Compare prices at multiple facilities — use the comparison data on this page. (2) Ask about ASC (surgery center) options, which are often 40–60% cheaper. (3) Request cash-pay pricing upfront. (4) After receiving a bill, review each line item against Medicare benchmarks. Research suggests 49–80% of hospital bills contain errors.

Related pricing data

Cancer screening with pelvic and breast examination — Medicare rate detailsFull Medicare rate breakdown by setting and locality
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Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Rates shown are national Medicare reimbursement rates by care setting. Price ranges reflect variation across hospitals reporting the same procedure code. Metro prices are averaged from hospital-level chargemaster data reported to CMS.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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