Cost analysis for CPT G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination
Average Medicare Payment
$37.49
2023 data
Total Payments (2023)
$26.0M
Services (2023)
676.1K
Price Change (2014–2023)
+4.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $35.84 | $33.1M | 906.6K | — |
| 2015 | $36.31 | $32.8M | 887.5K | +1.3% |
| 2016 | $36.07 | $32.9M | 894.4K | -0.7% |
| 2017 | $36.42 | $31.6M | 851.3K | +1.0% |
| 2018 | $36.20 | $30.9M | 837.1K | -0.6% |
| 2019 | $37.53 | $31.4M | 820.7K | +3.7% |
| 2020 | $39.39 | $25.4M | 632.1K | +5.0% |
| 2021 | $38.56 | $29.4M | 745.5K | -2.1% |
| 2022 | $38.39 | $26.5M | 674.3K | -0.4% |
| 2023 | $37.49 | $26.0M | 676.1K | -2.3% |
The most expensive state pays 1.6x more than the cheapest for this procedure. AK averages $46.31 vs SD at $29.78.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $46.31 | $14.0K | 303 | 14 |
| DC | $43.93 | $101.6K | 2.3K | 45 |
| NY | $43.20 | $3.4M | 78.9K | 1.4K |
| NJ | $42.40 | $1.9M | 44.1K | 721 |
| CA | $41.93 | $1.9M | 45.0K | 1.0K |
| CT | $41.82 | $582.8K | 13.9K | 337 |
| MD | $40.84 | $921.6K | 22.6K | 419 |
| RI | $39.68 | $121.7K | 3.1K | 67 |
| HI | $39.33 | $150.4K | 3.8K | 74 |
| MA | $39.18 | $777.8K | 19.9K | 460 |
| FL | $38.72 | $2.3M | 59.9K | 1.0K |
| CO | $38.68 | $136.5K | 3.5K | 147 |
| IL | $38.59 | $838.9K | 21.7K | 600 |
| MI | $38.46 | $533.0K | 13.9K | 417 |
| VA | $38.28 | $1.0M | 26.2K | 530 |
| DE | $38.10 | $247.7K | 6.5K | 93 |
| NV | $37.72 | $144.9K | 3.8K | 125 |
| PA | $37.52 | $2.0M | 54.6K | 1.0K |
| PR | $37.23 | $14.6K | 393 | 19 |
| TX | $37.19 | $1.2M | 32.1K | 937 |
| GA | $36.91 | $692.4K | 18.8K | 450 |
| UT | $36.75 | $27.1K | 738 | 17 |
| WA | $36.56 | $81.7K | 2.2K | 96 |
| AZ | $36.52 | $348.6K | 9.5K | 202 |
| MN | $36.47 | $32.9K | 901 | 46 |
| OR | $36.35 | $106.5K | 2.9K | 127 |
| NC | $36.00 | $637.3K | 17.7K | 529 |
| WY | $35.93 | $29.7K | 827 | 33 |
| SC | $35.78 | $486.4K | 13.6K | 305 |
| MO | $35.77 | $467.7K | 13.1K | 346 |
| NM | $35.44 | $49.4K | 1.4K | 48 |
| OH | $35.18 | $883.2K | 25.1K | 713 |
| OK | $34.97 | $185.9K | 5.3K | 161 |
| NH | $34.91 | $117.5K | 3.4K | 118 |
| TN | $34.56 | $578.1K | 16.7K | 400 |
| IN | $34.47 | $406.2K | 11.8K | 362 |
| MS | $34.41 | $372.7K | 10.8K | 184 |
| AL | $34.31 | $407.0K | 11.9K | 293 |
| WI | $34.16 | $81.8K | 2.4K | 118 |
| KS | $34.07 | $157.5K | 4.6K | 135 |
| KY | $33.99 | $297.0K | 8.7K | 234 |
| NE | $33.87 | $111.6K | 3.3K | 104 |
| AR | $33.75 | $224.4K | 6.7K | 151 |
| LA | $33.49 | $487.8K | 14.6K | 327 |
| WV | $33.18 | $123.2K | 3.7K | 94 |
| ND | $32.91 | $18.5K | 563 | 21 |
| ME | $32.55 | $37.3K | 1.1K | 41 |
| MT | $32.15 | $36.8K | 1.1K | 48 |
| IA | $31.73 | $103.4K | 3.3K | 119 |
| VT | $30.70 | $41.6K | 1.4K | 36 |
| ID | $29.96 | $26.7K | 891 | 37 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Betsy Lantner | Obstetrics & Gynecology | NY | $27.1K | 561 | $48.22 |
| Matthew Tompkins | Obstetrics & Gynecology | VA | $26.8K | 685 | $39.13 |
| Eileen Krim | Obstetrics & Gynecology | NY | $26.5K | 547 | $48.37 |
| Theresa Benecki | Obstetrics & Gynecology | NJ | $26.0K | 611 | $42.61 |
| Joan Haselkorn-Lomasky | Obstetrics & Gynecology | NY | $25.5K | 539 | $47.30 |
| Marilyn Jerome | Obstetrics & Gynecology | DC | $24.1K | 566 | $42.58 |
| Christine Wu | Obstetrics & Gynecology | PA | $23.5K | 581 | $40.39 |
| Barbara Gleason | Obstetrics & Gynecology | MA | $22.1K | 552 | $40.01 |
| Deborah Wilson | Obstetrics & Gynecology | AZ | $20.7K | 550 | $37.72 |
| Jocelyn Craparo | Obstetrics & Gynecology | PA | $20.3K | 495 | $41.10 |
| Michele Isaacs | Obstetrics & Gynecology | NJ | $20.3K | 456 | $44.44 |
| Wendy Martinez | Obstetrics & Gynecology | NJ | $19.8K | 468 | $42.38 |
| Stephen Scarantino | Obstetrics & Gynecology | NY | $19.8K | 420 | $47.07 |
| Laura Greenbaum | Obstetrics & Gynecology | FL | $19.1K | 469 | $40.73 |
| Sharon Ross | Obstetrics & Gynecology | FL | $18.8K | 451 | $41.68 |
| Jon Yenari | Obstetrics & Gynecology | FL | $18.7K | 485 | $38.61 |
| Francine Fradella | Obstetrics & Gynecology | NY | $18.3K | 386 | $47.30 |
| Nancy Hafner | Obstetrics & Gynecology | VA | $18.1K | 405 | $44.73 |
| Donna Schneider | Obstetrics & Gynecology | NY | $17.9K | 370 | $48.40 |
| Lynne Coslett-Charlton | Obstetrics & Gynecology | PA | $17.8K | 478 | $37.19 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.