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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. G0101
  4. Cost Analysis

How Much Does Cervical or vaginal cancer screening; pelvic and clinical breast examination Cost on Medicare?

Cost analysis for CPT G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination

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Average Medicare Payment

$37.49

2023 data

Total Payments (2023)

$26.0M

Services (2023)

676.1K

Price Change (2014–2023)

+4.6%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$35.84$33.1M906.6K—
2015$36.31$32.8M887.5K+1.3%
2016$36.07$32.9M894.4K-0.7%
2017$36.42$31.6M851.3K+1.0%
2018$36.20$30.9M837.1K-0.6%
2019$37.53$31.4M820.7K+3.7%
2020$39.39$25.4M632.1K+5.0%
2021$38.56$29.4M745.5K-2.1%
2022$38.39$26.5M674.3K-0.4%
2023$37.49$26.0M676.1K-2.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.6x more than the cheapest for this procedure. AK averages $46.31 vs SD at $29.78.

StateAvg PaymentTotal PaymentsServicesProviders
AK$46.31$14.0K30314
DC$43.93$101.6K2.3K45
NY$43.20$3.4M78.9K1.4K
NJ$42.40$1.9M44.1K721
CA$41.93$1.9M45.0K1.0K
CT$41.82$582.8K13.9K337
MD$40.84$921.6K22.6K419
RI$39.68$121.7K3.1K67
HI$39.33$150.4K3.8K74
MA$39.18$777.8K19.9K460
FL$38.72$2.3M59.9K1.0K
CO$38.68$136.5K3.5K147
IL$38.59$838.9K21.7K600
MI$38.46$533.0K13.9K417
VA$38.28$1.0M26.2K530
DE$38.10$247.7K6.5K93
NV$37.72$144.9K3.8K125
PA$37.52$2.0M54.6K1.0K
PR$37.23$14.6K39319
TX$37.19$1.2M32.1K937
GA$36.91$692.4K18.8K450
UT$36.75$27.1K73817
WA$36.56$81.7K2.2K96
AZ$36.52$348.6K9.5K202
MN$36.47$32.9K90146
OR$36.35$106.5K2.9K127
NC$36.00$637.3K17.7K529
WY$35.93$29.7K82733
SC$35.78$486.4K13.6K305
MO$35.77$467.7K13.1K346
NM$35.44$49.4K1.4K48
OH$35.18$883.2K25.1K713
OK$34.97$185.9K5.3K161
NH$34.91$117.5K3.4K118
TN$34.56$578.1K16.7K400
IN$34.47$406.2K11.8K362
MS$34.41$372.7K10.8K184
AL$34.31$407.0K11.9K293
WI$34.16$81.8K2.4K118
KS$34.07$157.5K4.6K135
KY$33.99$297.0K8.7K234
NE$33.87$111.6K3.3K104
AR$33.75$224.4K6.7K151
LA$33.49$487.8K14.6K327
WV$33.18$123.2K3.7K94
ND$32.91$18.5K56321
ME$32.55$37.3K1.1K41
MT$32.15$36.8K1.1K48
IA$31.73$103.4K3.3K119
VT$30.70$41.6K1.4K36
ID$29.96$26.7K89137

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Betsy LantnerObstetrics & GynecologyNY$27.1K561$48.22
Matthew TompkinsObstetrics & GynecologyVA$26.8K685$39.13
Eileen KrimObstetrics & GynecologyNY$26.5K547$48.37
Theresa BeneckiObstetrics & GynecologyNJ$26.0K611$42.61
Joan Haselkorn-LomaskyObstetrics & GynecologyNY$25.5K539$47.30
Marilyn JeromeObstetrics & GynecologyDC$24.1K566$42.58
Christine WuObstetrics & GynecologyPA$23.5K581$40.39
Barbara GleasonObstetrics & GynecologyMA$22.1K552$40.01
Deborah WilsonObstetrics & GynecologyAZ$20.7K550$37.72
Jocelyn CraparoObstetrics & GynecologyPA$20.3K495$41.10
Michele IsaacsObstetrics & GynecologyNJ$20.3K456$44.44
Wendy MartinezObstetrics & GynecologyNJ$19.8K468$42.38
Stephen ScarantinoObstetrics & GynecologyNY$19.8K420$47.07
Laura GreenbaumObstetrics & GynecologyFL$19.1K469$40.73
Sharon RossObstetrics & GynecologyFL$18.8K451$41.68
Jon YenariObstetrics & GynecologyFL$18.7K485$38.61
Francine FradellaObstetrics & GynecologyNY$18.3K386$47.30
Nancy HafnerObstetrics & GynecologyVA$18.1K405$44.73
Donna SchneiderObstetrics & GynecologyNY$17.9K370$48.40
Lynne Coslett-CharltonObstetrics & GynecologyPA$17.8K478$37.19

🤔 Is Cervical or vaginal cancer screening; pelvic and clinical breast examination Overpriced?

Based on the data, CPT G0101 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 4.6% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.