Cost analysis for CPT G0105 — Colorectal cancer screening; colonoscopy on individual at high risk
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.8x more than the cheapest for this procedure. CA averages $342.80 vs WV at $192.74.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $342.80 | $9.6M | 28.1K | 651 |
| AK | $323.43 | $245.8K | 760 | 23 |
| NJ | $320.47 | $3.8M | 12.0K | 277 |
| NY | $304.38 | $4.0M | 13.0K | 336 |
| NV | $304.05 | $600.5K | 2.0K | 45 |
| MD | $301.80 | $3.8M | 12.7K | 222 |
| OR | $300.07 | $1.2M | 4.2K | 118 |
| DE | $298.77 | $905.0K | 3.0K | 40 |
| RI | $298.03 | $422.9K | 1.4K | 39 |
| CT | $293.76 | $1.0M | 3.6K | 110 |
| CO | $291.09 | $2.1M | 7.4K | 166 |
| WA | $286.93 | $2.3M | 7.9K | 223 |
| FL | $278.24 | $10.2M | 36.7K | 701 |
| AZ | $275.99 | $3.1M | 11.1K | 198 |
| NC | $273.74 | $4.2M | 15.2K | 336 |
| GA | $272.91 | $3.5M | 12.8K | 296 |
| HI | $272.16 | $113.8K | 418 | 14 |
| TX | $271.52 | $7.2M | 26.7K | 605 |
| PA | $270.92 | $6.2M | 22.7K | 497 |
| NM | $265.80 | $439.4K | 1.7K | 37 |
| NE | $264.66 | $807.7K | 3.1K | 68 |
| WY | $264.15 | $204.2K | 773 | 20 |
| KS | $263.39 | $1.3M | 4.8K | 90 |
| SC | $261.57 | $2.8M | 10.5K | 172 |
| MI | $261.01 | $2.6M | 10.0K | 259 |
| LA | $258.44 | $1.8M | 6.9K | 147 |
| UT | $258.31 | $639.1K | 2.5K | 62 |
| MA | $258.20 | $3.4M | 13.3K | 284 |
| OH | $257.54 | $3.3M | 12.9K | 344 |
| IL | $256.76 | $3.1M | 11.9K | 306 |
| MN | $254.20 | $849.8K | 3.3K | 129 |
| MS | $251.60 | $1.5M | 6.1K | 95 |
| IN | $251.53 | $2.2M | 8.8K | 215 |
| TN | $248.47 | $2.7M | 10.7K | 203 |
| AR | $248.07 | $1.1M | 4.5K | 82 |
| ID | $243.01 | $454.9K | 1.9K | 54 |
| VA | $240.05 | $2.3M | 9.4K | 244 |
| MO | $240.00 | $1.8M | 7.5K | 192 |
| DC | $237.72 | $152.4K | 641 | 21 |
| IA | $237.08 | $970.8K | 4.1K | 86 |
| AL | $236.34 | $1.1M | 4.5K | 126 |
| KY | $233.63 | $1.3M | 5.4K | 136 |
| OK | $233.63 | $881.5K | 3.8K | 89 |
| NH | $231.68 | $547.9K | 2.4K | 58 |
| WI | $222.82 | $1.1M | 5.1K | 178 |
| ME | $222.21 | $188.2K | 847 | 31 |
| SD | $214.27 | $294.4K | 1.4K | 39 |
| VT | $212.47 | $150.2K | 707 | 24 |
| ND | $211.06 | $202.2K | 958 | 25 |
| MT | $205.11 | $214.8K | 1.0K | 28 |
| WV | $192.74 | $181.9K | 944 | 28 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Digestivecare, Llc | Ambulatory Surgical Center | TN | $354.1K | 919 | $385.30 |
| Gastrointestinal Associates Endoscopy Center, Llc | Ambulatory Surgical Center | MS | $307.4K | 792 | $388.13 |
| The Maryland Center For Digestive Health Llc | Ambulatory Surgical Center | MD | $301.1K | 734 | $410.16 |
| Cape And Islands Endoscopy Center Llc | Ambulatory Surgical Center | MA | $252.9K | 548 | $461.58 |
| Jacksonville Endoscopy Centers Llc | Ambulatory Surgical Center | FL | $250.4K | 651 | $384.70 |
| Premier Endoscopy Center Llc | Ambulatory Surgical Center | FL | $230.5K | 600 | $384.23 |
| Greenville Endoscopy Center Inc | Ambulatory Surgical Center | SC | $227.1K | 576 | $394.26 |
| The Scranton Pa Endoscopy Asc Lp | Ambulatory Surgical Center | PA | $220.4K | 566 | $389.43 |
| Berks Center For Digestive Health, Lp | Ambulatory Surgical Center | PA | $215.1K | 509 | $422.50 |
| Monterey Bay Endoscopy Center Llc | Ambulatory Surgical Center | CA | $214.1K | 367 | $583.43 |
| Boston Endoscopy Center, Llc | Ambulatory Surgical Center | MA | $210.9K | 458 | $460.54 |
| Austin Gi Surgicenter, Llc | Ambulatory Surgical Center | TX | $210.3K | 512 | $410.75 |
| Charleston Endoscopy Center | Ambulatory Surgical Center | SC | $208.8K | 515 | $405.48 |
| Sansum Clinic | Ambulatory Surgical Center | CA | $192.2K | 368 | $522.16 |
| Gastroenterology Associates Endoscopy Center, Llc | Ambulatory Surgical Center | CA | $191.8K | 377 | $508.72 |
| Baton Rouge La Endoscopy Asc Llc | Ambulatory Surgical Center | LA | $189.9K | 516 | $368.04 |
| Fresno Ca Endoscopy Asc, Lp | Ambulatory Surgical Center | CA | $185.5K | 416 | $445.91 |
| Mngi Endoscopy Asc Inc | Ambulatory Surgical Center | MN | $184.9K | 424 | $436.17 |
| Lakeland Surgical & Diagnostic Center Llp | Ambulatory Surgical Center | FL | $183.7K | 475 | $386.74 |
| Pasadena Endoscopy Center Inc | Ambulatory Surgical Center | CA | $183.6K | 375 | $489.59 |
Based on the data, CPT G0105 shows a 1.8x variation in pricing across states — moderate variation by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.