G0124

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician

Medicare pricing data for 1,902 providers across 48 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician (HCPCS code G0124) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.89, but hospitals typically charge $75.50 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.89, your out-of-pocket cost would be approximately $4.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$22.89
Average Hospital Charge
$75.50
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$75.50
Medicare Allowed$22.89
Medicare Payment$22.68

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $22.68 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$26$851974,385+11.8%
New Jersey$26$72281,470+11.6%
Massachusetts$25$84731,223+8.8%
Hawaii$25$66875+7.5%
New York$25$77942,844+7.1%
Washington$24$5887551+5.4%
Connecticut$24$6113169+4.9%
Maryland$24$7811237+4.6%
Illinois$23$108701,495+2.1%
Rhode Island$23$701443+1.8%
Colorado$23$6431449+1.6%
New Hampshire$23$12020288+0.6%
Oregon$23$9037468-0.0%
Virginia$23$8230220-0.2%
Pennsylvania$23$601161,732-0.7%
Delaware$23$58561-0.7%
Vermont$23$81436-0.9%
North Dakota$23$13214139-1.1%
Texas$23$74562,073-1.1%
Nevada$23$72483-1.2%
Montana$23$6013157-1.3%
South Dakota$23$9933113-1.3%
Minnesota$22$94130590-2.3%
Michigan$22$6887698-2.4%
Georgia$22$7234713-2.5%
Iowa$22$9216149-2.8%
Puerto Rico$22$23332-3.2%
Florida$22$62612,311-3.4%
Missouri$22$7223547-3.5%
Wisconsin$22$15367522-4.7%
Utah$22$7315363-5.7%
Arizona$22$6115453-5.8%
Ohio$22$75104636-5.8%
North Carolina$21$67572,475-6.2%
Nebraska$21$67622-6.6%
Kansas$21$6322253-6.9%
Indiana$21$6640494-7.3%
Louisiana$21$7937699-7.3%
New Mexico$21$10211123-7.5%
South Carolina$21$61331,108-8.0%
Alabama$21$67191,044-8.3%
Idaho$21$61221-8.5%
Kentucky$21$7226565-8.6%
Oklahoma$21$544298-8.6%
Tennessee$21$60931,472-8.7%
West Virginia$21$7191,083-9.3%
Mississippi$20$7910310-10.8%
Arkansas$20$56673-10.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber