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
Atlanta, TX
See all hospitals reporting HCPCS G0104 →Price type
St. Michael Hospital - Atlanta’s median price of $895 is 12% below the median hospital's median price ($1.0k), higher than 31% 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: 6 payers, 23 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina chip km fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 2 | Molina healthspring star plus km fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 3 | Molina star km fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Molina star plus km fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 7 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 8 | Bcbs Tx ppo fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 9 | UnitedHealthcare chip km case rate · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 10 | UnitedHealthcare star kid km case rate · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 11 | UnitedHealthcare star km case rate · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 12 | UnitedHealthcare star plus km case rate · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 13 | Bcbs Tx heb fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 14 | Humana choicecare other · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 15 | Aetna mm fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 16 | Bcbs Tx mm fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 17 | Humana choicecare network mm fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 18 | Molina medicare adv mm fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 19 | UnitedHealthcare mm fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 20 | UnitedHealthcare hix case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | UnitedHealthcare all payer case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 22 | Healthcare Highways ppo case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | Aetna ppo case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
Last updated: Jan 13, 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.