HCPCS G0104 at Kittitas Valley Community Hospital

Colorectal cancer screening; flexible sigmoidoscopy

Kittitas Valley Community Hospital, Ellensburg

Description from CMS's HCPCS Level II code file.

What Kittitas Valley Community Hospital publishes for this code: as an outpatient

Kittitas Valley Community Hospital’s prices for HCPCS G0104, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$208 – $1,3861 plan	$221
Medicare AdvantageInsurer rates	$88.20 – $5871 plan	$54.11
UnknownInsurer rates	$206 – $1,5496 plans	$70.99 – $104
Cash pricePaying yourself, without insurance	$208 – $1,386	$221
List priceBefore any discount; few people pay it	$245 – $1,630	$260

Lowest and highest amounts Kittitas Valley Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-07. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0104 at Kittitas Valley Community Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0104 at every Washington hospital, with Medicare’s reference amounts.