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
G0121,53 COLON CA SCRN NOT HI RSK IND
Wayne, IN
See all hospitals reporting HCPCS G0121 →Price type
Dupont Hospital LLC’s median price of $679 is 42% below the median hospital's median price ($1.2k), higher than 17% of the 2,022 hospitals reporting HCPCS G0121. 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, 33 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $217.86 | $209.46 | $133.72 – $267.44 |
| 2 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $244.84 | $235.40 | $150.28 – $300.56 |
| 3 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $249.57 | $239.95 | $153.18 – $306.36 |
| 4 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $249.57 | $239.95 | $153.18 – $306.36 |
| 5 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $301.51 | $289.88 | $185.06 – $370.12 |
| 6 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $357.49 | $343.71 | $219.42 – $438.84 |
| 7 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $267.44 | $548.35 | $133.72 – $2,582 |
| 8 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · inpatientfrom % of charges | $580.07 | $557.71 | $356.04 – $712.08 |
| 9 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · outpatientfrom % of charges | $580.07 | $557.71 | $356.04 – $712.08 |
| 10 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · inpatientfrom % of charges | $607.05 | $583.65 | $372.60 – $745.20 |
| 11 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · outpatientfrom % of charges | $607.05 | $583.65 | $372.60 – $745.20 |
| 12 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $300.56 | $616.26 | $150.28 – $2,901 |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $306.36 | $628.15 | $153.18 – $2,957 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $306.36 | $628.15 | $153.18 – $2,957 |
| 15 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $370.12 | $758.87 | $185.06 – $3,573 |
| 16 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $867.80 | $867.80 | $867.80 – $867.80 |
| 17 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $438.84 | $899.78 | $219.42 – $4,236 |
| 18 | Tricare node tricare facility · fee schedule · outpatient | $934.71 | $934.71 | $934.71 – $934.71 |
| 19 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $964.22 | $964.22 | $964.22 – $964.22 |
| 20 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $964.22 | $964.22 | $964.22 – $964.22 |
| 21 | Humana node humana mcr adv facility · fee schedule · outpatient | $964.22 | $964.22 | $964.22 – $964.22 |
| 22 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $983.50 | $983.50 | $983.50 – $983.50 |
| 23 | Anthem anthem in hip facility · fee schedule · outpatient | $983.90 | $983.90 | $983.90 – $983.90 |
| 24 | Optum node united optum va ccn facility · per diem · outpatient | $983.90 | $983.90 | $983.90 – $983.90 |
| 25 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $1,476 | $1,476 | $1,476 – $1,476 |
Last updated: Apr 1, 2026
See Colonoscopy for colorectal cancer screening, not high risk pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.