Procedure price report

Screening sigmoidoscopy of the lower colon

HCPCS code HCPCS G0104the billing code this page is about

Examination of the rectum and lower colon with a flexible lighted scope, performed as a routine screening test rather than to investigate symptoms.

Hospitals typically charge $1,136 cash for this outpatient procedure — the median across 168 hospitals that filed a usable cash price; the average of the middle 60% is $1,510. Most fall between $374 and $3,356 (20th–80th percentile).

Hospitals
168
States
35
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 168 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$85$561$1,136$3,035$5,683

The most expensive tenth of hospitals charges at least 67× what the cheapest tenth charges ($85 vs $5,683).

How the prices are spread

$78 – $122: 19 hospitals$78$122 – $191: 3 hospitals$191 – $299: 8 hospitals$191$299 – $467: 3 hospitals$467 – $731: 13 hospitals$467$731 – $1,143: 37 hospitals$1,143 – $1,789: 21 hospitals$1,143$1,789 – $2,798: 14 hospitals$2,798 – $4,378: 26 hospitals$2,798$4,378 – $6,849: 15 hospitals$4,378median $1,136price bands are equal on a log scale
Hospitals per price band (159 of 168 — the bands cover the 5th to 95th percentile)
FromToHospitals
$78$12219
$122$1913
$191$2998
$299$4673
$467$73113
$731$1,14337
$1,143$1,78921
$1,789$2,79814
$2,798$4,37826
$4,378$6,84915

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$1,136
Cash as a multiple of Medicare1.20×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,136.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 3 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $78 across 19 hospitalsMI$78New York: median $1,104 across 11 hospitalsNY$1,104Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,191 across 22 hospitalsOH$4,191Pennsylvania: 3 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 8 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: 4 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,177 across 14 hospitalsVA$2,177Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 7 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $1,059 across 16 hospitalsTX$1,059Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,136. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH22$4,191+269%$3,246 – $5,537
Virginia VA14$2,177+92%$196 – $2,821
New York NY11$1,104−3%$165 – $3,056
Texas TX16$1,059−7%$1,059 – $1,123
Michigan MI19$78−93%$78 – $2,882
New Jersey NJ8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Oklahoma OK7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Illinois IL3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Pennsylvania PA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,136.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care149$1,161$555 – $3,442
Critical access18fewer than 20 hospitals
Ownership
For-profit33$1,250$835 – $2,290
Government16fewer than 20 hospitals
Non-profit118$1,123$239 – $4,023
System affiliation
Part of a system146$1,161$512 – $3,550
Independent22$765$151 – $2,810

Cash price vs list price

Median list price (chargemaster)$2,550
Median cash price$1,136
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

168 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 185 hospitals that filed this code at all gave us
Usable cash price — counted168
Cash price carrying a plausibility flag — shown on the compare tool, excluded here12
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded5
Hospitals that filed this code185

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as Ca screen;flexi sigmoidscope.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Screening sigmoidoscopy of the lower colon (CPT G0104) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-g0104-screening-sigmoidoscopy-of-the-lower-colon