Cost Guide G0105 · HCPCS Level II

How much does Colorectal screening for high-risk individuals cost?

Medicare pays $165.

By Elena Vasquez , Medical Billing Research Lead · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

4 care settings compared

CMS Medicare benchmark data

Updated 2026-04-03

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Medicare benchmark: $165 · Average charge: $912 · Scan your bill

$912

Above average

Average hospital charge vs. benchmarks: $165 (Medicare rate) · $912 (Average charge)

$165

Medicare rate

$489

ASC rate

$912

Avg hospital charge

$746

Price spread

Rate comparison — Colorectal screening for high-risk individuals

Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

Cost by care setting

Setting	Medicare rate	Description
Hospital outpatient (facility)	$165	Medicare rate when performed in a hospital outpatient department
Physician office (non-facility)	$99	Medicare rate when performed in a physician office
Ambulatory surgery center	$489	Medicare ASC rate — often significantly cheaper than hospital
Hospital outpatient (APC)	$912	Hospital outpatient prospective payment rate

What affects the cost?

Facility type (hospital vs ASC vs office — can differ 2–5x)
Geographic location (costs vary significantly by city)
Insurance negotiated rate vs chargemaster list price
Whether the procedure is performed as inpatient or outpatient

How to save on Colorectal screening for high-risk individuals

1 Request a detailed cost estimate in writing before any procedure
2 Compare prices at multiple facilities — costs can vary 5–10x for the same procedure
3 Ask about cash-pay discounts (often 30–60% off chargemaster rates)
4 After receiving a bill, compare each line item against Medicare benchmark rates

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — Colorectal screening for high-risk individuals cost

What is a fair price for Colorectal scrn; hi risk ind?

Medicare pays $165 for Colorectal scrn; hi risk ind (G0105). This is the government benchmark rate. A fair price for commercially insured or cash-pay patients is typically 1.2–2.5x the Medicare rate, or roughly $198–$413.

How can I lower my cost for Colorectal scrn; hi risk ind?

To lower your cost: (1) Compare prices at multiple facilities — use the comparison data on this page. (2) Ask about ASC (surgery center) options, which are often 40–60% cheaper. (3) Request cash-pay pricing upfront. (4) After receiving a bill, review each line item against Medicare benchmarks. Research suggests 49–80% of hospital bills contain errors.

Related pricing data

Colorectal screening for high-risk individuals — Medicare rate detailsFull Medicare rate breakdown by setting and locality

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Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Rates shown are national Medicare reimbursement rates by care setting. Price ranges reflect variation across hospitals reporting the same procedure code. Metro prices are averaged from hospital-level chargemaster data reported to CMS.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use