facebook tracking Level 3 Airway Endoscopy cost in Wisconsin: 49 hospitals compared (APC 5153)

Level 3 Airway Endoscopy in Wisconsin

What 49 hospitals in Wisconsin charged and were paid for level 3 airway endoscopy (APC 5153), from 2024 Medicare claims.

APC 5153 Outpatient 2024 Medicare data
Average charge $9,154 Hospital list price billed
Average allowed $1,569 Medicare's payment + patient's share
Medicare paid $1,246 Average per service
State rank #30 of 48 1 = lowest average payment

Hospitals in Wisconsin billed an average of $9,154 for level 3 airway endoscopy, about 5.8 times the average medicare-allowed amount of $1,569. That payment is 2% 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 $1,569Billed $9,154

About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.

Wisconsin hospitals: level 3 airway endoscopy

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Wi Hospitals & Clinics AuthorityMadison 236 $8,650 $1,574 $1,248
Froedtert Mem Lutheran HsptlMilwaukee 83 $14,496 $1,588 $1,261
Gundersen Luth Med CtrLa Crosse 64 $7,370 $1,584 $1,262
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse 45 $4,576 $1,599 $1,274
Luther Hospital Mayo Health SystemEau Claire 34 $7,877 $1,574 $1,246
Mercy Hlth Sys CorpJanesville 30 $4,453 $1,505 $1,191
Beloit Mem HsptlBeloit 30 $2,438 $1,651 $1,315
Aurora Baycare Med CtrGreen Bay 28 $13,955 $1,528 $1,218
Aurora St Lukes Medical CenterMilwaukee 25 $15,462 $1,477 $1,162
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee 23 $16,055 $1,597 $1,272
Appleton Med CtrAppleton 19 $5,711 $1,530 $1,219
Aspirus Wausau HospitalWausau 18 $10,363 $1,519 $1,210
Waukesha Memorial HospitalWaukesha 16 $14,959 $1,469 $1,150
Marshfield Medical CenterMarshfield 15 $4,489 $1,627 $1,296
Marshfield Medical Center - Eau ClaireEau Claire 15 $5,924 $1,525 $1,215
St Elizabeth HsptlAppleton – – – –
Marshfield Medical Center - Rice LakeRice Lake – – – –
Sacred Heart HospitalEau Claire – – – –
Aspirus Rhinelander HospitalRhinelander – – – –
Froedtert SouthKenosha – – – –
Monroe ClinicMonroe – – – –
Aurora Med Ctr Manitowoc CtyTwo Rivers – – – –
Aurora Sheboygan Mem Med CtrSheboygan – – – –
Aurora Med Center-Washington CountyHartford – – – –
St Nicholas HospitalSheboygan – – – –
Thedacare Regional Med Ctr - NeenahNeenah – – – –
Bellin Memorial HsptlGreen Bay – – – –
Aurora Memorial Hsptl BurlingtonBurlington – – – –
St Josephs Com Hsptl West BendWest Bend – – – –
Fort HealthcareFort Atkinson – – – –
St Vincent HsptlGreen Bay – – – –
Beaver Dam Com HsptlBeaver Dam – – – –
St Mary's HospitalMadison – – – –
St Agnes HsptlFond du Lac – – – –
Meriter HsptlMadison – – – –
Wheaton Franciscan Healthcare- All SaintsRacine – – – –
St Marys Hsptl Med CtrGreen Bay – – – –
Aurora Lakeland Med CtrElkhorn – – – –
Community Mem HsptlMenomonee Falls – – – –
Bay Area Med CtrMarinette – – – –
Ascension SE Wisconsin HospitalMilwaukee – – – –
Aurora West Allis Medical CenterWest Allis – – – –
Aurora Med Ctr KenoshaKenosha – – – –
Aurora Med Ctr OshkoshOshkosh – – – –
St Clare's Hospital of Weston INCWeston – – – –
Aurora Medical CenterSummit – – – –
Aurora Medical CenterGrafton – – – –
SSM Health St Mary's Hospital - JanesvilleJanesville – – – –
Marshfield Medical Center - MinocquaMinocqua – – – –
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Lowest and highest allowed amounts in Wisconsin

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

Waukesha Memorial HospitalWaukesha, WI$1,469
Aurora St Lukes Medical CenterMilwaukee, WI$1,477
Mercy Hlth Sys CorpJanesville, WI$1,505
Aspirus Wausau HospitalWausau, WI$1,519
Marshfield Medical Center - Eau ClaireEau Claire, WI$1,525

Level 3 Airway Endoscopy in other states

Questions

How much does level 3 airway endoscopy cost in Wisconsin?

In 2024 Medicare data, level 3 airway endoscopy (APC 5153) at 49 hospitals in Wisconsin was billed at $9,154 on average, while the average medicare-allowed amount was $1,569, of which Medicare paid $1,246. 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 Wisconsin, average charges were 5.8 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.