facebook tracking Level 3 Airway Endoscopy cost in Vermont: 5 hospitals compared (APC 5153)

Level 3 Airway Endoscopy in Vermont

What 5 hospitals in Vermont charged and were paid for level 3 airway endoscopy (APC 5153), from 2024 Medicare claims.

APC 5153 Outpatient 2024 Medicare data
Average charge $5,502 Hospital list price billed
Average allowed $737 Medicare's payment + patient's share
Medicare paid $396 Average per service
State rank #1 of 48 1 = lowest average payment

Hospitals in Vermont billed an average of $5,502 for level 3 airway endoscopy, about 7.5 times the average medicare-allowed amount of $737. That payment is 54% below the U.S. average of $1,594.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $737Billed $5,502

About 13¢ was paid for every $1 hospitals in Vermont billed for this service.

Vermont hospitals: level 3 airway endoscopy

Every Vermont hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Fletcher Allen Hospital of VermontBurlington 79 $5,976 $744 $403
Central Vermont Medical CenterGraniteville-East Barre 31 $3,393 $559 $216
Rutland Regional Medical CenterRutland 16 $4,904 $991 $655
Southwestern Vermont Medical CenterBennington 15 $8,009 $798 $452
Northwestern Medical CenterSt Albans – – – –
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Lowest and highest allowed amounts in Vermont

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Level 3 Airway Endoscopy in other states

Questions

How much does level 3 airway endoscopy cost in Vermont?

In 2024 Medicare data, level 3 airway endoscopy (APC 5153) at 5 hospitals in Vermont was billed at $5,502 on average, while the average medicare-allowed amount was $737, of which Medicare paid $396. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Vermont, average charges were 7.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.