Price Checker / CPT G0101
How much does Ca Screen;pelvic/breast Exam cost?
CPT G0101 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$85–$100
What this should cost
With insurance
~$860
Typical out-of-pocket
Overcharged if over
$130
Push back above this
What hospitals charge for Ca Screen;pelvic/breast Exam
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| EHHS Milton Clinic , WI | $113 | $82 | 184% |
| Jackson Hospital MARIANNA, AL | $65 | $12 | 64% |
| Hospital of the University of Pennsylvania - Cedar Avenue , PA | $56 | $56 | 41% |
| Hospital of the University of Pennsylvania Pavilion , PA | $56 | $56 | 41% |
| Penn Medicine - Rittenhouse , PA | $56 | $56 | 41% |
| Penn Presbyterian Medical Center PHILADELPHIA, PA | $56 | $56 | 41% |
| Pennsylvania Hospital Hall Mercer Philadelphia, PA | $56 | $56 | 41% |
| Pennsylvania Hospital PHILADELPHIA, PA | $56 | $56 | 41% |
| The Hospital of the University of Pennsylvania , PA | $56 | $56 | 41% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Ca Screen;pelvic/breast Exam
CPT code G0101 refers to ca screen;pelvic/breast exam (billing description: "Ca screen;pelvic/breast exam"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $25 in a facility (hospital or surgery center) and $40 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.