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
Pittsfield, ME
See all hospitals reporting HCPCS G0104 →Price type
Sebasticook Valley Health’s median price of $169 is 83% below the median hospital's median price ($1.0k), higher than 10% 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: 5 payers, 30 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 | Aetna mcr advantage professional · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 2 | Anthem mcr advantage professional · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 3 | UnitedHealthcare mcr advantage professional · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 4 | WellCare mcr advantage professional · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Aetna mcr advantage professional · fee schedule · outpatient | $109 | $109 | $57 | 53% | — | $52 – $166 |
| 6 | Anthem mcr advantage professional · fee schedule · outpatient | $109 | $109 | $57 | 53% | — | $52 – $166 |
| 7 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $111 | $111 | $58 | 53% | — | $53 – $169 |
| 8 | WellCare mcr advantage professional · fee schedule · outpatient | $111 | $111 | $58 | 53% | — | $53 – $169 |
| 9 | Cigna commercial professional · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 10 | Anthem commercial professional · percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 11 | Anthem commercial professional · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 12 | Anthem enhanced pathways professional · percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 13 | Anthem enhanced pathways professional · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 14 | Aetna commercial professional · percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 15 | UnitedHealthcare commercial professional · fee schedule · outpatient | $185 | $185 | $89 | 48% | — | $96 – $275 |
| 16 | UnitedHealthcare commercial professional · percent of total billed charges · inpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 17 | Aetna commercial professional · fee schedule · outpatient | $190 | $190 | $100 | 53% | — | $90 – $290 |
| 18 | Cigna commercial professional · percent of total billed charges · inpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 19 | Cigna commercial professional · percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 20 | Aetna mcr advantage facility · case rate · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 21 | UnitedHealthcare mcr advantage facility · case rate · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 22 | WellCare mcr advantage facility · case rate · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 23 | Aetna commercial professional · percent of total billed charges · inpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 24 | Anthem mcr advantage facility · case rate · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 25 | UnitedHealthcare commercial professional · percent of total billed charges · outpatientfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
Last updated: Mar 30, 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.