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
Wayne, IN
See all hospitals reporting HCPCS G0104 →Price type
St. Joseph Health System, LLC’s median price of $201 is 80% below the median hospital's median price ($1.0k), higher than 13% 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, 38 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 | $50 | $59 | $14 | 24% | — | $48 – $79 |
| 2 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $57 | $67 | $16 | 24% | — | $54 – $89 |
| 3 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $72 | $84 | $20 | 24% | — | $69 – $113 |
| 4 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $106 | $125 | $30 | 24% | — | $102 – $167 |
| 5 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $108 | $127 | $30 | 24% | — | $104 – $169 |
| 6 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $108 | $127 | $30 | 24% | — | $104 – $169 |
| 7 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $117 | $138 | $33 | 24% | — | $113 – $184 |
| 8 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $122 | $143 | $34 | 24% | — | $117 – $191 |
| 9 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $122 | $143 | $34 | 24% | — | $117 – $191 |
| 10 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $125 | $147 | $35 | 24% | — | $120 – $196 |
| 11 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $156 | $184 | $43 | 24% | — | $150 – $245 |
| 12 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $156 | $184 | $43 | 24% | — | $150 – $245 |
| 13 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $65 | $448 | $674 | 150% | — | $48 – $1.6k |
| 14 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $73 | $503 | $757 | 150% | — | $54 – $1.8k |
| 15 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $73 | $504 | $757 | 150% | — | $54 – $1.8k |
| 16 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $92 | $638 | $960 | 150% | — | $69 – $2.3k |
| 17 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $868 | $868 | — | — | — | $868 – $868 |
| 18 | Tricare node tricare facility · fee schedule · outpatient | $935 | $935 | — | — | — | $935 – $935 |
| 19 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $136 | $944 | $1.4k | 150% | — | $102 – $3.4k |
| 20 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $964 | $964 | — | — | — | $964 – $964 |
| 21 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $964 | $964 | — | — | — | $964 – $964 |
| 22 | Humana node humana mcr adv facility · fee schedule · outpatient | $964 | $964 | — | — | — | $964 – $964 |
| 23 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $984 | $984 | — | — | — | $984 – $984 |
| 24 | Anthem anthem in hip facility · fee schedule · outpatient | $984 | $984 | — | — | — | $984 – $984 |
| 25 | Optum node united optum va ccn facility · per diem · outpatient | $984 | $984 | — | — | — | $984 – $984 |
Last updated: Apr 1, 2026
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