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
HC CA SCREEN;FLEXI SIGMOIDSCOPE
Elyria, OH
See all hospitals reporting HCPCS G0104 →Price type
University Hospitals Health System’s median price of $955 is 6% below the median hospital's median price ($1.0k), higher than 41% 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: 13 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 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $619 | $619 | — | — | — | $619 – $619 |
| 2 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $627 | $627 | — | — | — | $627 – $627 |
| 3 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $855 | $855 | — | — | — | $855 – $855 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 6 | Cigna medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 7 | Devoted medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 8 | Humana medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 9 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 10 | Molina medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 12 | WellCare medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 13 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $959 | $959 | — | — | — | $959 – $959 |
| 14 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $959 | $959 | — | — | — | $959 – $959 |
| 15 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Medical Mutual hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | UnitedHealthcare nexus commercial facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Anthem commercial facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Anthem traditional commercial facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | UnitedHealthcare commercial facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Ambetter commercial facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jul 14, 2026
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