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).

$1,014 National median

$641 – $1,962 IQR (p25 – p75)

2,335 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: $928.

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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
UT	$177	$54	$942
IN	$258	$92	$1,370
VT	$299	$89	$919
NH	$343	$183	$1,071
MI	$485	$86	$927
MO	$497	$237	$1,040
NM	$517	$320	$1,293
PR	$671	$671	$671
IA	$707	$235	$950
WA	$740	$157	$1,694
MS	$782	$214	$1,154
AZ	$796	$796	$1,455
NE	$810	$334	$1,364
WY	$815	$337	$1,430
DC	$820	$676	$999
KY	$855	$444	$1,040
TN	$861	$274	$1,318
SD	$872	$612	$933
AK	$872	$245	$955
KS	$876	$314	$1,171
AR	$882	$452	$1,348
CO	$916	$253	$1,360
TX	$925	$212	$1,435
HI	$931	$170	$1,108
SC	$931	$882	$1,522
MN	$932	$665	$2,142
WV	$945	$788	$1,154
CT	$950	$307	$2,391
ME	$951	$882	$2,731
PA	$956	$811	$1,582
VA	$962	$851	$2,689
IL	$998	$363	$2,104
LA	$1,004	$579	$1,103
ND	$1,027	$912	$1,623
RI	$1,040	$925	$1,541
AL	$1,077	$830	$1,944
NY	$1,079	$624	$1,913
MA	$1,170	$878	$1,857
CA	$1,196	$950	$1,893
NJ	$1,201	$1,024	$2,898
OH	$1,237	$884	$2,136
MD	$1,339	$884	$1,605
NC	$1,356	$929	$1,580
OK	$1,368	$1,306	$1,805
DE	$1,407	$1,033	$2,311
ID	$1,443	$914	$2,172
FL	$1,733	$945	$2,521
NV	$1,776	$1,008	$2,136
MT	$1,856	$273	$1,856
GA	$1,879	$928	$2,843
OR	$1,892	$1,065	$3,280
WI	$2,001	$1,287	$2,043

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

UT	$177	$54	$942	$54	$4,460	35	71	1,351
IN	$258	$92	$1,370	$28	$9,162	40	216	1,986
VT	$299	$89	$919	$26	$1,378	8	36	237
NH	$343	$183	$1,071	$41	$9,087	16	88	526
MI	$485	$86	$927	$14	$6,324	78	392	2,759
MO	$497	$237	$1,040	$43	$6,897	36	196	1,597
NM	$517	$320	$1,293	$52	$13,242	22	134	681
PR	$671	$671	$671	$671	$739	1 ⚠ thin data	5	5
IA	$707	$235	$950	$21	$4,938	42	185	1,158
WA	$740	$157	$1,694	$30	$13,212	52	120	1,633
MS	$782	$214	$1,154	$33	$16,331	32	242	1,445
AZ	$796	$796	$1,455	$51	$27,312	33	387	1,348
NE	$810	$334	$1,364	$46	$3,921	20	90	518
WY	$815	$337	$1,430	$52	$3,186	13	70	139
DC	$820	$676	$999	$473	$1,891	2 ⚠ thin data	12	29
KY	$855	$444	$1,040	$37	$6,108	41	86	828
TN	$861	$274	$1,318	$35	$14,991	56	178	2,883
SD	$872	$612	$933	$46	$2,950	8	64	157
AK	$872	$245	$955	$67	$6,642	6	22	72
KS	$876	$314	$1,171	$42	$6,392	45	170	852
AR	$882	$452	$1,348	$32	$4,722	24	244	772
CO	$916	$253	$1,360	$21	$17,204	64	187	1,967
TX	$925	$212	$1,435	$16	$16,591	222	471	6,983
HI	$931	$170	$1,108	$56	$2,837	7	15	84
SC	$931	$882	$1,522	$29	$14,554	44	121	1,874
MN	$932	$665	$2,142	$24	$6,343	76	332	8,107
WV	$945	$788	$1,154	$40	$6,370	15	75	412
CT	$950	$307	$2,391	$85	$10,156	18	22	254
ME	$951	$882	$2,731	$57	$5,635	21	27	250
PA	$956	$811	$1,582	$33	$24,358	72	171	2,972
VA	$962	$851	$2,689	$55	$6,242	47	69	1,195
IL	$998	$363	$2,104	$24	$8,534	90	309	3,030
LA	$1,004	$579	$1,103	$18	$8,798	43	160	1,930
ND	$1,027	$912	$1,623	$33	$3,186	14	36	293
RI	$1,040	$925	$1,541	$72	$11,112	7	38	201
AL	$1,077	$830	$1,944	$41	$18,899	49	195	1,274
NY	$1,079	$624	$1,913	$32	$35,000	102	370	7,247
MA	$1,170	$878	$1,857	$60	$13,614	33	293	1,034
CA	$1,196	$950	$1,893	$35	$20,742	168	615	4,132
NJ	$1,201	$1,024	$2,898	$49	$16,802	50	210	3,228
OH	$1,237	$884	$2,136	$35	$6,652	103	286	4,403
MD	$1,339	$884	$1,605	$356	$1,980	2 ⚠ thin data	16	28
NC	$1,356	$929	$1,580	$62	$14,600	58	118	1,521
OK	$1,368	$1,306	$1,805	$52	$9,434	40	103	1,038
DE	$1,407	$1,033	$2,311	$955	$4,851	2 ⚠ thin data	7	27
ID	$1,443	$914	$2,172	$47	$9,545	24	172	940
FL	$1,733	$945	$2,521	$43	$16,349	124	629	3,251
NV	$1,776	$1,008	$2,136	$53	$3,720	13	131	400
MT	$1,856	$273	$1,856	$46	$4,616	21	230	619
GA	$1,879	$928	$2,843	$32	$50,000	80	125	2,044
OR	$1,892	$1,065	$3,280	$46	$8,025	26	87	598
WI	$2,001	$1,287	$2,043	$41	$8,014	85	402	5,081