HCPCS G0101

Cervical or vaginal cancer screening; pelvic and clinical breast examination

Current codeAnnual Wellness Visits32 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS G0101 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$55.07 – $82.764 plans	$79.20	$99.00
EvergreenHealth Medical CenterKirkland	—	$214	$267
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$72.07	$103
Island HospitalAnacortes	$1211 plan	$85.00	$85.00
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	$35.04	$73.00
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$72.07	$103
Virginia Mason Medical CenterSeattle	—	$52.02	$102
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$90.80	$227

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $45.21 in an office; $26.77 in a hospital or surgery center
Doctor's fee, rest of Washington: $40.58 in an office; $24.76 in a hospital or surgery center
Hospital outpatient payment (national): $104 (APC 5822)