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
Normal, IL
See all hospitals reporting HCPCS G0104 →Price type
Carle BroMenn Medical Center’s median price of $629 is 38% below the median hospital's median price ($1.0k), higher than 21% 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: 9 payers, 22 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $55 | $55 | — | — | — | $55 – $55 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | 1–10 | $203 – $203 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $623 | $623 | — | — | — | $623 – $623 |
| 10 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $624 | $624 | — | — | 1–10 | $624 – $624 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $626 | $626 | — | — | — | $626 – $626 |
| 12 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $629 | $629 | — | — | — | $629 – $629 |
| 13 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 14 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $761 | $761 | — | — | — | $761 – $761 |
| 16 | Aetna medicare advantage case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 17 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 18 | Humana medicare advantage case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 19 | Molina medicare-medicaid (d-snp) case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 20 | UnitedHealthcare medicare advantage case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 21 | UnitedHealthcare va ccn/optum case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 22 | WellCare medicare advantage hmo case rate · outpatient | $997 | $997 | — | — | — | $997 – $997 |
Last updated: Apr 15, 2026
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