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
PR CA SCREEN;FLEXI SIGMOIDSCOPE
Kalamazoo, MI
See all hospitals reporting HCPCS G0104 →Price type
Bronson Methodist Hospital’s median price of $359 is 65% below the median hospital's median price ($1.0k), higher than 17% 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, 29 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 | UnitedHealthcare medicaid professional · fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 2 | Blue Cross Blue Shield complete professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Blue Cross Blue Shield mappo professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 4 | UnitedHealthcare dual complete dsnp/medicare advantage professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Aetna medicare professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Molina medicare/medicaid professional · fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Aetna commercial professional · fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 8 | Aetna new business (mi preferred) professional · fee schedule · both | $72 | $72 | $3 | 4% | — | $70 – $75 |
| 9 | UnitedHealthcare all payor (choice/ppo) professional · fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 10 | UnitedHealthcare core professional · fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 11 | UnitedHealthcare exchange professional · fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 12 | UnitedHealthcare exchange facility · percent of total billed charges · outpatientfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
| 13 | UnitedHealthcare core facility · percent of total billed charges · outpatientfrom % of charges | $220 | $220 | — | — | — | $220 – $220 |
| 14 | Aetna american axle facility · percent of total billed charges · inpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 15 | Aetna american axle facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 16 | Aetna new business (mi preferred) facility · percent of total billed charges · inpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 17 | Aetna new business (mi preferred) facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 18 | UnitedHealthcare all payor (choice/ppo) facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 19 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 21 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 22 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 23 | UnitedHealthcare medicaid facility · fee schedule · outpatient | $485 | $485 | — | — | — | $485 – $485 |
| 24 | Blue Cross Blue Shield complete facility · fee schedule · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 25 | Blue Cross Blue Shield mappo facility · fee schedule · outpatient | $927 | $927 | — | — | — | $927 – $927 |
Last updated: Aug 3, 2026
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