HCPCS G0104 HCPCS - Temporary Procedures
Ca screen;flexi sigmoidscope Cost
Body System: General
Medicare Facility Rate
$53
CMS PFS CY2026
Medicare Non-Facility Rate
$215
Office/clinic setting
Hospital Outpatient
$950
OPPS rate
Surgery Center (ASC)
$185
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.82
Work RVU
0.67
Facility PE RVU
0.11
Malpractice RVU
6.43
Total RVU
Frequently Asked Questions
How much does Ca screen;flexi sigmoidscope cost?
The Medicare facility rate is $53. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $950. Ambulatory surgery center rate: $185.
How much does Ca screen;flexi sigmoidscope cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $53.