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
G0104 CA SCREEN;FLEXI SIGMOIDSCOPE
Peru, IN
See all hospitals reporting HCPCS G0104 →Price type
Dukes Health System LLC’s median price of $97 is 90% below the median hospital's median price ($1.0k), higher than 6% 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: 10 payers, 28 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 | Tricare node tricare facility · fee schedule · outpatient | $37 | $41 | $14 | 34% | — | $28 – $61 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $39 | $43 | $15 | 34% | — | $30 – $65 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $39 | $43 | $15 | 34% | — | $30 – $65 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $39 | $43 | $15 | 34% | — | $30 – $65 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $40 | $44 | $15 | 34% | — | $30 – $66 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $40 | $44 | $15 | 34% | — | $30 – $66 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $40 | $44 | $15 | 34% | — | $30 – $66 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $40 | $44 | $15 | 34% | — | $30 – $66 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $40 | $44 | $15 | 34% | — | $30 – $66 |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $60 | $66 | $22 | 34% | — | $45 – $99 |
| 11 | Anthem anthem in work comp facility · other · outpatient | $64 | $71 | $24 | 34% | — | $48 – $106 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $72 | $79 | $27 | 34% | — | $54 – $119 |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $72 | $79 | $27 | 34% | — | $54 – $119 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $72 | $79 | $27 | 34% | — | $54 – $119 |
| 15 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $72 | $79 | $27 | 34% | — | $54 – $119 |
| 16 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $85 | $93 | $31 | 34% | — | $64 – $140 |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $95 | $105 | $35 | 34% | — | $71 – $158 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $99 | $108 | $36 | 34% | — | $74 – $163 |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $160 | $176 | $59 | 34% | — | $120 – $265 |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $160 | $176 | $59 | 34% | — | $120 – $265 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $162 | $179 | $60 | 34% | — | $122 – $268 |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $162 | $179 | $60 | 34% | — | $122 – $268 |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $162 | $179 | $60 | 34% | — | $122 – $268 |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $162 | $179 | $60 | 34% | — | $122 – $268 |
| 25 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $201 | $221 | $74 | 34% | — | $150 – $331 |
Last updated: Apr 1, 2026
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