HCPCS G0104
Colorectal cancer screening; flexible sigmoidoscopy
Current codeLower GI Endoscopy - Other35 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,055 – $1,161 | — | — |
| Deaconess Medical Center | $1,016 – $1,117 | — | — |
| EvergreenHealth Medical Center | $1,019 – $1,039 | $2,003 | $2,504 |
| Harborview Medical Center | $1,077 – $1,185 | $2,853 | $4,075 |
| Island Hospital | $1,110 – $1,176 | $193 – $263 | $193 – $263 |
| Kadlec Regional Medical Center | $1,036 – $1,244 | — | — |
| Legacy Salmon Creek Medical Center | $1,067 – $1,161 | $36.01 – $338 | $55.40 – $520 |
| Mary Bridge Children's Hospital | $1,064 – $1,170 | — | — |
| MultiCare Auburn Medical Center | $1,058 – $1,164 | — | — |
| MultiCare Covington Medical Center | $1,058 – $1,164 | — | — |
| MultiCare Good Samaritan Hospital | $1,064 – $1,170 | — | — |
| MultiCare Valley Hospital | $1,046 – $1,117 | — | — |
| Olympic Medical Center | $1,165 – $1,498 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,080 – $1,123 | — | — |
| PeaceHealth Southwest Medical Cente | $1,031 – $1,186 | $529 – $2,347 | $814 – $3,610 |
| PeaceHealth St John Medical Center | $863 – $1,216 | $1,776 | $2,733 |
| PeaceHealth St Joseph Medical Center | $1,104 – $1,215 | $2,742 | $4,219 |
| PeaceHealth United General Medical Center | — | $642 – $645 | $988 – $993 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,036 – $1,244 | — | — |
| Providence Centralia Hospital | $1,077 – $1,723 | — | — |
| Providence Holy Family Hospital | $1,036 – $1,140 | — | — |
| Providence Regional Medical Center Everett | $1,059 – $1,165 | — | — |
| Providence St Mary Medical Center | $1,036 – $1,140 | — | — |
| Providence St Peter Hospital | $1,070 – $1,711 | — | — |
| Skagit Valley Hospital | $912 – $957 | $818 | $1,022 |
| Swedish Edmonds Hospital | $1,059 – $1,271 | — | — |
| Swedish Issaquah | $1,080 – $1,296 | — | — |
| Swedish Medical Center | $1,077 – $1,292 | — | — |
| Swedish Medical Center / Cherry Hill | $1,077 – $1,292 | — | — |
| Tacoma General Allenmore Hospital | $1,064 – $1,170 | — | — |
| University of Washington Medical Ctr | $1,077 – $1,185 | $2,192 | $3,131 |
| Virginia Mason Medical Center | $45.09 – $1,332 | $1,514 | $2,968 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $500 – $1,510 | $500 – $1,510 |
| Yakima Valley Memorial | $1,088 – $1,218 | — | — |
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)