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
COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY
Monroeville, PA
See all hospitals reporting HCPCS G0104 →Price type
UPMC East’s median price of $913 is 10% below the median hospital's median price ($1.0k), higher than 34% 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, 13 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 3 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 4 | Highmark managed care facility · fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 5 | Highmark commercial - indemnity facility · fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 6 | Highmark upmc emergent facility · fee schedule · outpatient | $628 | $628 | — | — | — | $628 – $628 |
| 7 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $913 | $913 | — | — | — | $913 – $913 |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $930 | $930 | — | — | — | $930 – $930 |
| 9 | Aetna medicare facility · fee schedule · outpatient | $934 | $934 | $22 | 2% | — | $913 – $956 |
| 10 | Highmark medicare facility · fee schedule · outpatient | $939 | $939 | — | — | — | $939 – $939 |
| 11 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $939 | $939 | — | — | — | $939 – $939 |
| 12 | Cigna medicare facility · fee schedule · outpatient | $939 | $939 | — | — | — | $939 – $939 |
| 13 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $956 | $956 | — | — | — | $956 – $956 |
Last updated: Mar 6, 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.