HCPCS G0121 at Skyline Hospital

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Skyline Hospital, White Salmon

Description from CMS's HCPCS Level II code file.

What Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for HCPCS G0121, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$1,012 – $1,1192 plans	$51.00 – $57.00
Medicare AdvantageInsurer rates	$5713 plans	$165 – $708
Medicaid managed careInsurer rates	$593 – $7003 plans	$105 – $110
Other government programInsurer rates	$8571 plan	$165
UnknownInsurer rates	$629 – $1,1916 plans	$51.00 – $253
Cash pricePaying yourself, without insurance	$857	$728
List priceBefore any discount; few people pay it	$1,191	$1,011

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. 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 G0121 at Skyline 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 G0121 at every Washington hospital, with Medicare’s reference amounts.