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
Longview, TX
See all hospitals reporting HCPCS G0104 →Price type
Longview Medical Center LP’s median price of $934 is 8% below the median hospital's median price ($1.0k), higher than 38% 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: 10 payers, 31 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 bcbs tx blue adv facility · other · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 2 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Medicaid node tx medicaid facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 6 | UnitedHealthcare node uhc chip medicaid tx facility · other · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 7 | UnitedHealthcare node uhc star medicaid tx facility · other · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 8 | Molina node molina chip medicaid tx facility · per diem · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 9 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 10 | UnitedHealthcare node uhc star plus medicaid tx facility · other · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 11 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 12 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 13 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 14 | Humana node humana mcr adv facility · fee schedule · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 15 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 16 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 17 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 18 | Aetna node aetna mcr adv facility · other · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 19 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 20 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 21 | Tricare node tricare facility · fee schedule · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 22 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | Cigna cigna all facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Apr 1, 2026
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