HCPCS G0105 HCPCS - Temporary Procedures
Colorectal scrn; hi risk ind Cost
Body System: General
Medicare Facility Rate
$165
CMS PFS CY2026
Medicare Non-Facility Rate
$378
Office/clinic setting
Hospital Outpatient
$950
OPPS rate
Surgery Center (ASC)
$510
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.18
Work RVU
1.34
Facility PE RVU
0.41
Malpractice RVU
11.32
Total RVU
Frequently Asked Questions
How much does Colorectal scrn; hi risk ind cost?
The Medicare facility rate is $165. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $950. Ambulatory surgery center rate: $510.
How much does Colorectal scrn; hi risk ind 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 $165.