HCPCS G0104

CA SCREEN;FLEXI SIGMOIDSCOPE - as described in hospitals' own price files.

7hospitals publishing a price

$2,226median cash price

$1,072median typical insurance price

Hospital	Location	Cash price	Typical insurance	List price	Negotiated range
Healdsburg Hospital	Healdsburg, CA	$230	-	$450	-
Providence St. Joseph Medical Center	Polson, MT	$282	-	$352	-
Medical Center Enterprise	Enterprise, AL	$3,085	$951	$34,283	$165 - $30,855
Crestwood Medical Center	Huntsville, AL	$3,053	$1,053	$16,960	$159 - $14,416
Gadsden Regional Medical Center	Gadsden, AL	$2,226	$1,072	$18,549	$164 - $15,766
Flowers Hospital	Dothan, AL	$1,823	$1,210	$12,154	$535 - $10,939
Mat-Su Regional Medical Center	Palmer, AK	$2,734	$5,833	$9,114	$871 - $8,750

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.