G0104 (HCPCS) by state — Price Transparency

HCPCS · across United States

G0104 — Ca Screen;flexi Sigmoidscope

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$1,012 National median

$644 – $1,957 IQR (p25 – p75)

2,312 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $950.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for G0104 (HCPCS), with interquartile range
State	Median	p25	p75
WI	$2,001	$1,371	$2,043
OR	$1,892	$1,065	$3,280
GA	$1,879	$928	$2,843
NV	$1,780	$1,012	$2,136
FL	$1,733	$943	$2,532
ID	$1,486	$971	$2,172
DE	$1,407	$1,033	$2,311
OK	$1,356	$1,306	$1,736
NC	$1,356	$931	$1,580
MD	$1,339	$884	$1,605
OH	$1,232	$887	$2,136
MT	$1,212	$273	$1,212
NJ	$1,201	$1,024	$2,898
CA	$1,196	$950	$1,893
MA	$1,177	$933	$1,888
NY	$1,079	$614	$1,876
AL	$1,076	$830	$1,948
RI	$1,040	$925	$1,541
ND	$1,027	$912	$1,630
LA	$1,004	$579	$1,103
IL	$997	$362	$2,103
VA	$962	$851	$2,689
PA	$956	$811	$1,582
ME	$951	$882	$2,731
CT	$950	$307	$2,391
SC	$937	$886	$1,522
MN	$932	$665	$2,142
WV	$931	$757	$1,084
HI	$931	$170	$1,108
CO	$916	$258	$1,368
TX	$913	$215	$1,430
AR	$882	$466	$1,348
KS	$876	$314	$1,168
AK	$872	$245	$955
SD	$872	$612	$933
TN	$861	$297	$1,374
KY	$855	$349	$1,040
DC	$820	$676	$999
WY	$814	$336	$1,430
NE	$810	$333	$1,334
AZ	$796	$796	$1,455
MS	$779	$298	$1,073
WA	$740	$157	$1,694
IA	$683	$235	$950
PR	$671	$671	$671
NM	$514	$320	$1,328
MO	$497	$243	$1,040
MI	$485	$91	$926
NH	$343	$184	$1,071
VT	$299	$89	$919
IN	$268	$93	$1,433
UT	$177	$54	$942

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WI	$2,001	$1,371	$2,043	$41	$8,014	84	397	4,946
OR	$1,892	$1,065	$3,280	$46	$8,025	26	87	613
GA	$1,879	$928	$2,843	$32	$50,000	79	125	2,029
NV	$1,780	$1,012	$2,136	$73	$3,720	12	130	396
FL	$1,733	$943	$2,532	$43	$16,349	124	629	3,240
ID	$1,486	$971	$2,172	$47	$9,545	23	169	914
DE	$1,407	$1,033	$2,311	$955	$4,851	2 ⚠ thin data	7	27
OK	$1,356	$1,306	$1,736	$52	$9,434	40	103	1,026
NC	$1,356	$931	$1,580	$62	$14,600	58	118	1,520
MD	$1,339	$884	$1,605	$356	$1,980	2 ⚠ thin data	16	28
OH	$1,232	$887	$2,136	$35	$6,652	102	277	4,397
MT	$1,212	$273	$1,212	$46	$3,077	21	230	619
NJ	$1,201	$1,024	$2,898	$49	$16,802	50	210	3,228
CA	$1,196	$950	$1,893	$35	$20,742	165	606	4,111
MA	$1,177	$933	$1,888	$60	$13,614	32	287	1,011
NY	$1,079	$614	$1,876	$32	$35,000	97	347	7,103
AL	$1,076	$830	$1,948	$41	$18,899	47	195	1,252
RI	$1,040	$925	$1,541	$72	$11,112	7	38	201
ND	$1,027	$912	$1,630	$33	$3,186	14	33	287
LA	$1,004	$579	$1,103	$18	$8,798	43	160	1,930
IL	$997	$362	$2,103	$24	$8,534	89	306	2,988
VA	$962	$851	$2,689	$55	$6,242	47	69	1,195
PA	$956	$811	$1,582	$33	$24,358	72	171	2,973
ME	$951	$882	$2,731	$57	$5,635	21	27	260
CT	$950	$307	$2,391	$85	$10,156	18	22	254
SC	$937	$886	$1,522	$29	$14,554	43	114	1,764
MN	$932	$665	$2,142	$24	$6,343	75	331	8,069
WV	$931	$757	$1,084	$40	$6,370	15	79	471
HI	$931	$170	$1,108	$56	$2,837	7	15	84
CO	$916	$258	$1,368	$21	$17,204	64	181	1,963
TX	$913	$215	$1,430	$16	$16,591	220	467	6,922
AR	$882	$466	$1,348	$32	$4,722	24	241	767
KS	$876	$314	$1,168	$42	$6,392	45	170	853
AK	$872	$245	$955	$67	$6,642	6	22	72
SD	$872	$612	$933	$46	$2,950	8	64	157
TN	$861	$297	$1,374	$35	$14,991	57	184	2,929
KY	$855	$349	$1,040	$37	$6,108	40	85	860
DC	$820	$676	$999	$473	$1,891	2 ⚠ thin data	12	29
WY	$814	$336	$1,430	$52	$3,186	13	71	140
NE	$810	$333	$1,334	$46	$3,921	19	86	474
AZ	$796	$796	$1,455	$51	$27,312	34	387	1,327
MS	$779	$298	$1,073	$33	$16,331	33	251	1,356
WA	$740	$157	$1,694	$30	$13,212	52	120	1,633
IA	$683	$235	$950	$21	$4,938	42	185	1,146
PR	$671	$671	$671	$671	$739	1 ⚠ thin data	5	5
NM	$514	$320	$1,328	$52	$13,242	22	134	682
MO	$497	$243	$1,040	$43	$6,897	35	196	1,554
MI	$485	$91	$926	$14	$6,324	78	391	2,840
NH	$343	$184	$1,071	$41	$9,087	15	88	525
VT	$299	$89	$919	$26	$1,378	8	36	237
IN	$268	$93	$1,433	$28	$9,162	39	214	1,968
UT	$177	$54	$942	$54	$4,460	35	70	1,284