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
PR CA SCREEN;FLEXI SIGMOIDSCOPE
Dubuque, IA
See all hospitals reporting HCPCS G0104 →Price type
The Finley Hospital’s median price of $284 is 72% below the median hospital's median price ($1.0k), higher than 16% 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, 22 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 | Aetna medicare advantage fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Molina medicare advantage fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Wellmark medicare advantage fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Humana medicare advantage fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Wellmark commercial fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Wellmark hmo fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 8 | Wellmark ppo fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 9 | Cigna commercial fee schedule · both | $133 | $133 | — | — | — | $133 – $133 |
| 10 | Aetna hmo fee schedule · both | $141 | $141 | — | — | — | $141 – $141 |
| 11 | Aetna ppo fee schedule · both | $172 | $172 | — | — | — | $172 – $172 |
| 12 | UnitedHealthcare hmo fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 13 | UnitedHealthcare ppo fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 14 | Aetna medicare advantage case rate · outpatient | $890 | $890 | — | — | — | $890 – $890 |
| 15 | Molina medicare advantage case rate · outpatient | $890 | $890 | — | — | — | $890 – $890 |
| 16 | Wellmark medicare advantage case rate · outpatient | $890 | $890 | — | — | — | $890 – $890 |
| 17 | Humana medicare advantage case rate · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Aetna hmo fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Aetna ppo fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Jan 28, 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.