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
Utica, NY
See all hospitals reporting HCPCS G0104 →Price type
MVHS, Inc.’s median price of $7 is 99% below the median hospital's median price ($1.0k), higher than 0% 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: 11 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Humana humana military fee schedule · inpatient | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Tricare humana military fee schedule · inpatient | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Aetna aetna medicare advantage fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Medicare medicare fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Humana choicecare fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Humana humana medicare advantage fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 12 | WellCare wellcare fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 13 | Cigna mvp hmo/ppo fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 14 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $38 | $38 | — | — | — | $38 – $38 |
| 15 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $43 | $43 | $29 | 69% | — | $13 – $72 |
| 16 | Humana humana military other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Tricare humana military other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Excellus excellus bcbs medicare advantage other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Humana humana medicare advantage other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 20 | Medicare medicare other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 21 | Optum vaccn optum other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | UnitedHealthcare uhc medicare advantage other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 23 | Aetna aetna medicare advantage other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 24 | WellCare wellcare medicare advantage other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
Last updated: Aug 7, 2026
See Flexible sigmoidoscopy for colorectal cancer screening pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.