What does code G0104 cost?

Across the published hospital price files, the disclosed cash price for G0104 ranges from $81.60 to $1,716. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

G0104 is the billing code hospitals use to identify "CA screen;flexi sigmoidscope" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

G0104

HCPCS

CA screen;flexi sigmoidscope

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code G0104 (CA screen;flexi sigmoidscope) appears at 16 hospitals with disclosed cash prices from $81.60 to $1,716. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare G0104 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code G0104 vary by about 21× across the 7 hospitals with disclosed prices here — from $81.60 to $1,716. Shopping around can matter.

Hospitals

Prices shown

$81.60

Lowest cash

$1,716

Highest cash

code G0104 cash price10 disclosed · 7 hospitals

$81.60median ~$349$1,716

Lowest cash price by hospital

Providence St Joseph Medical Center$81.60
Healdsburg Hospital$106
Munson Healthcare Charlevoix Hospital$121
Munson Healthcare Cadillac$416
Stanford Health Care$792
Munson Medical Center$1,305

Cash price by city

Reflects your current filters.

Cash price by city$81.60 – $1,305

Polson · 1 hospital$81.60–$282
Healdsburg · 1 hospital$106–$230
Charlevoix · 1 hospital$121
Cadillac · 1 hospital$416
Stanford · 1 hospital$792
Traverse City · 1 hospital$1,305

31 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
CA screen;flexi sigmoidscope Outpatient	Endeavor Health Edward Hospital	G0104 HCPCS	—	—	$210 – $1,605	—
Hc Colorectal Cancer Screening; Flexible Sigmoidoscopy Inpatient & outpatient	University of Chicago Medical Center	G0104 HCPCS	—	—	—	—
Hc Colorectal Cancer Screening; Flexible Sigmoidoscopy-Pbb Inpatient & outpatient	University of Chicago Medical Center	G0104 HCPCS	—	—	—	—
Colorectal Screening Flex Sig-Gast Inpatient & outpatient	University of Chicago Medical Center	G0104 HCPCS	—	—	—	—
Colorectal Screening Flex Sig-Pbb Inpatient & outpatient	University of Chicago Medical Center	G0104 HCPCS	—	—	—	—
CA screen;flexi sigmoidscope Outpatient	University of Chicago Medical Center	G0104 HCPCS	—	—	—	—
CA SCREEN;FLEXI SIGMOIDSCOPE Inpatient & outpatient	McLaren Caro Region	G0104 HCPCS	$3,432	$1,716	$673 – $1,769	—
Colorectal cancer screen flex sigmoidoscopy G0104 Inpatient	Munson Healthcare Charlevoix Hospital	G0104 HCPCS	$142	$121	$114 – $142	—
Colorectal cancer screen flex sigmoidoscopy G0104 Inpatient	Munson Healthcare Cadillac	G0104 HCPCS	$489	$416	$293 – $852	—
Colorectal cancer screen flex sigmoidoscopy G0104 Outpatient	Munson Medical Center	G0104 HCPCS	$1,535	$1,305	$485 – $2,317	—
Ca Screen;Flexi Sigmoidscope Inpatient	Stanford Health Care	G0104 HCPCS	$1,981	$792	—	—
Ca Screen;Flexi Sigmoidscope Outpatient	Stanford Health Care	G0104 HCPCS	$1,981	$792	—	—
HC PR G0104 CA SCREEN FLEXI SIGMOID SCOPE Inpatient & outpatient	Healdsburg Hospital	G0104 HCPCS	$450	$230	—	—
HC PR G0104 CA SCREEN FLEXI SIGMOIDSCOPE CDM Inpatient & outpatient	Healdsburg Hospital	G0104 HCPCS	$207	$106	—	—
CA screen;flexi sigmoidscope Outpatient	Texas Health Center for Diagnostics and Surgery Plano	G0104 HCPCS	—	—	$131 – $991	—
HC PR G0104 CA SCREEN FLEXI SIGMOID SCOPE Inpatient & outpatient	Providence St Joseph Medical Center	G0104 HCPCS	$102	$81.60	—	—
HC PR G0104 CA SCREEN FLEXI SIGMOID SCOPE Outpatient	Providence St Joseph Medical Center	G0104 HCPCS	$352	$282	—	—
1-Colorectal cancer screening flexible sigmoidoscopy Outpatient	Jefferson Abington Hospital	G0104 HCPCS	—	—	$125 – $2,667	—
1-COLOREC CANCER SCREENING FLEXSIG Outpatient	Jefferson Abington Hospital	G0104 HCPCS	—	—	$125 – $2,667	—
1-Colorectal cancer screening flexible sigmoidoscopy Outpatient	Jefferson Bucks Hospital	G0104 HCPCS	—	—	$208 – $2,422	—
1-COLOREC CANCER SCREENING FLEXSIG Outpatient	Jefferson Bucks Hospital	G0104 HCPCS	—	—	$208 – $2,422	—
1-Surgery-COLORECTAL CANCER SCREENING FLEXIBLE SIGMOIDOSCOPY Outpatient	Jefferson Bucks Hospital	G0104 HCPCS	—	—	$208 – $2,422	—
1--COLOREC CANCER SCREENING FLEXSIG Outpatient	Jefferson Cherry Hill Hospital	G0104 HCPCS	—	—	$5,646 – $6,648	—
1-Colorectal cancer screening flexible sigmoidoscopy Outpatient	Jefferson Frankford Hospital	G0104 HCPCS	—	—	$208 – $2,422	—
1-COLOREC CANCER SCREENING FLEXSIG Outpatient	Jefferson Frankford Hospital	G0104 HCPCS	—	—	$208 – $2,422	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish G0104 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center McLaren Caro Region Munson Healthcare Charlevoix Hospital Munson Healthcare Cadillac Munson Medical Center Stanford Health Care Healdsburg Hospital Texas Health Center for Diagnostics and Surgery Plano Providence St Joseph Medical Center Jefferson Abington Hospital Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital Jefferson Methodist Hospital

Code G0104: frequently asked

What does code G0104 cost?: Across the published hospital price files, the disclosed cash price for G0104 ranges from $81.60 to $1,716. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code G0104?: G0104 is the billing code hospitals use to identify "CA screen;flexi sigmoidscope" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code G0104 by state

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