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
New Richmond, WI
See all hospitals reporting HCPCS G0104 →Price type
Westfields Hospital’s median price of $904 is 11% below the median hospital's median price ($1.0k), higher than 33% 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, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs pmap [95296] facility · fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 2 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 3 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · fee schedule · both | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Medica medica government advantage [50316] facility · fee schedule · both | $65 | $65 | — | — | — | $65 – $65 |
| 5 | Ucare ucare pmap [50283] facility · fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges | $890 | $890 | — | — | — | $890 – $890 |
| 7 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges | $932 | $932 | — | — | — | $932 – $932 |
| 8 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges | $950 | $950 | — | — | — | $950 – $950 |
| 9 | Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges | $959 | $959 | — | — | — | $959 – $959 |
| 10 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $680 | 59% | — | $465 – $1.8k |
| 11 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $684 | 59% | — | $468 – $1.8k |
| 12 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $740 | 59% | — | $506 – $2.0k |
| 13 | Healthpartners hp self insured [91021] facility · case rate · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Mar 31, 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.