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Cost Guide G0121 · HCPCS Level II

How much does Colon cancer screening for not high-risk individuals cost?

Medicare pays $165.

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

4 care settings compared
CMS Medicare benchmark data
Updated 2026-04-03
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Medicare rateAverage chargeHigh end$0$1.0K
$912
Above average
Average hospital charge vs. benchmarks: $166 (Medicare rate) · $912 (Average charge)
$166
Medicare rate
$489
ASC rate
$912
Avg hospital charge
$746
Price spread
Rate comparison — Colon cancer screening for not high-risk individuals
Non-facility$99Medicare facility$166ASC rate$489Hospital outpatient$912Avg chargemaster$912$813 difference between lowest and highest rate
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
Hospital outpatient (facility) $166
Physician office (non-facility) $99
Ambulatory surgery center $489
Hospital outpatient (APC) $912

What affects the cost?

How to save on Colon cancer screening for not 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 — Colon cancer screening for not high-risk individuals cost

What is a fair price for Colon ca scrn not hi rsk ind?
Medicare pays $165 for Colon ca scrn not hi rsk ind (G0121). 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–$414.
How can I lower my cost for Colon ca scrn not hi rsk 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

Colon cancer screening for not high-risk individuals — Medicare rate detailsFull Medicare rate breakdown by setting and locality
More HCPCS Level II procedure costs

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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

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