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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G0101 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$115 – $1276 plans——
Cascade Medical CenterLeavenworth$55.30 – $82.767 plans$79.20$99.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$111 – $1228 plans——
EvergreenHealth Medical CenterKirkland$99.43 – $1015 plans$214$267
Harborview Medical CenterSeattleFile dated 2026-04-01$118 – $1295 plans$72.07$103
Island HospitalAnacortes$121 – $12911 plans$85.00$85.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$113 – $1367 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$117 – $1276 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$116 – $1287 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$116 – $1277 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$116 – $1277 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$116 – $1287 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$114 – $1227 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$127 – $1645 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$118 – $1233 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$113 – $1367 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$118 – $1887 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$113 – $1255 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$116 – $1276 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$113 – $1256 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$117 – $1877 plans——
Skagit Valley HospitalMount Vernon$92.50 – $97.134 plans$83.20$104
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$116 – $1398 plans$35.04$73.00
Swedish IssaquahIssaquahFile dated 2026-04-01$118 – $1428 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$118 – $1418 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$118 – $1418 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$116 – $1287 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$118 – $1295 plans$72.07$103
Virginia Mason Medical CenterSeattle$28.68 – $2,20313 plans$52.02$102
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$85.00 – $200$85.00 – $200
Yakima Valley MemorialYakimaFile dated 2026-08-27$119 – $1338 plans$90.80$227

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)