Price Checker / CPT G0104

How much does Ca Screen;flexi Sigmoidscope cost?

CPT G0104 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 27x the fair price — among the most extreme markups. Dispute this.

Fair price

$320–$640

What this should cost

With insurance

~$2,250

Typical out-of-pocket

Overcharged if over

$800

Push back above this

The average hospital charge of $12,893 is $12,413 over the fair price (about 27x the fair rate).

What hospitals charge for Ca Screen;flexi Sigmoidscope

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
ST. CLAIR HOSPITAL

PITTSBURGH, PA

$21,806$5,26810053%
Health Alliance Mary Avenue Hospital

, NY

$19,224$1,6528851%
Margaretville Hospital

, NY

$19,224$14,2268851%
Gadsden Regional Medical Center

GADSDEN, AL

$18,549$2,2268536%
Crestwood Medical Center

HUNTSVILLE, AL

$15,760$2,8377238%
Hospital of the University of Pennsylvania - Cedar Avenue

, PA

$11,156$11,1565094%
Hospital of the University of Pennsylvania Pavilion

, PA

$11,156$11,1565094%
Penn Medicine - Rittenhouse

, PA

$11,156$11,1565094%
The Hospital of the University of Pennsylvania

, PA

$11,156$11,1565094%
Penn Presbyterian Medical Center

PHILADELPHIA, PA

$11,027$11,0275034%
Northwest Health - Porter

VALPARAISO, IN

$10,607$2,8644839%
"Lutheran Children's Hospital"

, IN

$10,488$3,1464783%
Lutheran Hospital

CLEVELAND, IN

$10,488$3,1464783%
Turkey Creek Medical Center

, TN

$10,276$2,3024685%
Richardson Medical Center

RAYVILLE, LA

$1,328$996518%

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About Ca Screen;flexi Sigmoidscope

CPT code G0104 refers to ca screen;flexi sigmoidscope (billing description: "Ca screen;flexi sigmoidscope"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $53 in a facility (hospital or surgery center) and $215 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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