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
Arlington, TX
See all hospitals reporting HCPCS G0104 →Price type
AMH Cath Labs LLC’s median price of $954 is 6% below the median hospital's median price ($1.0k), higher than 41% of the 1,756 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: 6 payers, 19 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 managed medicaid fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Molina managed medicaid fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $936 | $936 | — | — | — | $936 – $936 |
| 10 | Humana medicare advantage case rate · outpatient | $973 | $973 | — | — | — | $973 – $973 |
| 11 | Humana medicare advantage ppo case rate · outpatient | $973 | $973 | — | — | — | $973 – $973 |
| 12 | Molina medicare advantage case rate · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Blue Cross Blue Shield traditional case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Apr 21, 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.