HCPCS G0104
Colorectal cancer screening; flexible sigmoidoscopy
Current codeLower GI Endoscopy - Other35 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $725 – $1,074 | — | — |
| Deaconess Medical Center | $663 – $702 | — | — |
| EvergreenHealth Medical Center | — | $2,003 | $2,504 |
| Harborview Medical Center | — | $2,853 | $4,075 |
| Island Hospital | $684 – $742 | $193 – $263 | $193 – $263 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $36.01 – $338 | $55.40 – $520 |
| Mary Bridge Children's Hospital | $686 – $741 | — | — |
| MultiCare Auburn Medical Center | $674 – $727 | — | — |
| MultiCare Covington Medical Center | $674 – $727 | — | — |
| MultiCare Good Samaritan Hospital | $689 – $744 | — | — |
| MultiCare Valley Hospital | $659 – $697 | — | — |
| Olympic Medical Center | $848 – $929 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $1,072 | $529 – $2,347 | $814 – $3,610 |
| PeaceHealth St John Medical Center | $863 – $1,161 | $1,776 | $2,733 |
| PeaceHealth St Joseph Medical Center | $1,160 | $2,742 | $4,219 |
| PeaceHealth United General Medical Center | — | $642 – $645 | $988 – $993 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | $81.06 – $144 | $818 | $1,022 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $689 – $745 | — | — |
| University of Washington Medical Ctr | — | $2,192 | $3,131 |
| Virginia Mason Medical Center | — | $1,514 | $2,968 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $500 – $1,510 | $500 – $1,510 |
| Yakima Valley Memorial | $659 – $765 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $257 in an office; $59.22 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $224 in an office; $54.11 in a hospital or surgery center
- Hospital outpatient payment (national)
- $950 (APC 5311)
- Surgery center payment (national)
- $185
How hospitals also write this code
Some price files write it differently. These are counted as HCPCS G0104:
- G0104P (with a letter after it, P; 4 price lines)
- G0104T (with a letter after it, T; 2 price lines)