Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CA screen;flexi sigmoidscope
Devils Lake, ND
See all hospitals reporting HCPCS G0104 →Price type
Altru Hospital Devils Lake’s median price of $1.1k is 5% above the median hospital's median price ($1.0k), higher than 54% of the 1,769 hospitals reporting HCPCS G0104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $434 | $434 | $400 | 92% | — | $33 – $834 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $434 | $434 | $400 | 92% | — | $33 – $834 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $549 | $549 | $488 | 89% | — | $60 – $1.0k |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $950 | $950 | — | — | — | $950 – $950 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $967 | $967 | $869 | 90% | — | $98 – $1.8k |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $1.3k | $1.3k | $190 | 15% | — | $1.1k – $1.5k |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $1.7k | $1.6k | $421 | 27% | — | $998 – $2k |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Mar 1, 2026
See Flexible sigmoidoscopy for colorectal cancer screening pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.