Level 4 Airway Endoscopy
What 2,049 hospitals in the U.S. charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Average charge
$27,795
Hospital list price billed
Average allowed
$3,568
Medicare's payment + patient's share
Medicare paid
$2,833
Average per service
Volume
55,908
Medicare services
Hospitals in the U.S. billed an average of $27,795 for level 4 airway endoscopy, about 7.8 times the average medicare-allowed amount of $3,568.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Metrohealth SystemCleveland, OH | $1,646 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $1,859 |
| Fletcher Allen Hospital of VermontBurlington, VT | $1,982 |
| Memorial Hospital at GulfportGulfport, MS | $2,336 |
| Palomar Medical CenterEscondido, CA | $2,403 |
| Baptist Medical Center SouthMontgomery, AL | $2,768 |
| Mobile InfirmaryMobile, AL | $2,918 |
| Forrest General HospitalHattiesburg, MS | $2,923 |
| Grandview Medical CenterBirmingham, AL | $2,941 |
| Delray Medical CenterDelray Beach, FL | $2,942 |
Highest
| Northbay Medical CenterFairfield, CA | $5,388 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $5,353 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $5,273 |
| El Camino HospitalMountain View, CA | $5,273 |
| Good Samaritan HospitalSan Jose, CA | $5,273 |
| UCSF Medical CenterSan Francisco, CA | $5,246 |
| Stanford HospitalPalo Alto, CA | $5,226 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $5,214 |
| John Muir Medical Center - Concord CampusConcord, CA | $5,214 |
| Salinas Valley Memorial HospitalSalinas, CA | $4,923 |
Level 4 Airway Endoscopy cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 39 | $29,765 | $3,038 | $2,768 – $3,132 |
| Alaska | 5 | $38,391 | $3,865 | $3,865 – $3,865 |
| Arizona | 33 | $28,766 | $3,630 | $3,470 – $4,054 |
| Arkansas | 21 | $14,114 | $3,212 | $3,019 – $3,440 |
| California | 185 | $45,503 | $4,778 | $2,403 – $5,388 |
| Colorado | 39 | $23,867 | $3,571 | $3,407 – $3,818 |
| Connecticut | 20 | $19,633 | $4,127 | $3,989 – $4,218 |
| Delaware | 6 | $15,256 | $3,718 | $3,697 – $3,767 |
| Florida | 132 | $37,780 | $3,347 | $2,942 – $3,551 |
| Georgia | 61 | $28,716 | $3,338 | $3,003 – $3,525 |
| Hawaii | 9 | $21,104 | $4,287 | $4,274 – $4,307 |
| Idaho | 12 | $16,477 | $3,444 | $3,146 – $3,625 |
| Illinois | 85 | $30,642 | $3,534 | $3,288 – $3,707 |
| Indiana | 56 | $30,388 | $3,377 | $3,158 – $3,575 |
| Iowa | 23 | $18,723 | $3,269 | $3,158 – $3,630 |
| Kansas | 22 | $22,617 | $3,302 | $3,197 – $3,503 |
| Kentucky | 44 | $22,987 | $3,200 | $3,045 – $3,465 |
| Louisiana | 42 | $21,266 | $3,095 | $2,700 – $3,246 |
| Maine | 13 | $19,491 | $3,416 | $3,213 – $3,604 |
| Massachusetts | 46 | $18,351 | $3,988 | $3,899 – $4,224 |
| Michigan | 65 | $18,415 | $3,310 | $1,954 – $3,581 |
| Minnesota | 29 | $18,040 | $3,679 | $3,458 – $3,815 |
| Mississippi | 27 | $17,184 | $3,096 | $2,336 – $3,358 |
| Missouri | 52 | $20,555 | $3,258 | $3,029 – $3,569 |
| Montana | 8 | $16,599 | $3,585 | $3,397 – $3,760 |
| Nebraska | 19 | $20,325 | $3,340 | $3,227 – $3,635 |
| Nevada | 14 | $44,957 | $3,905 | $3,443 – $4,021 |
| New Hampshire | 13 | $21,548 | $3,716 | $3,572 – $3,826 |
| New Jersey | 48 | $30,730 | $3,995 | $3,698 – $4,261 |
| New Mexico | 10 | $24,828 | $3,444 | $3,261 – $3,792 |
| New York | 94 | $28,030 | $4,137 | $3,778 – $4,261 |
| North Carolina | 60 | $21,025 | $3,316 | $3,067 – $3,585 |
| North Dakota | 6 | $15,873 | $3,499 | $3,418 – $3,573 |
| Ohio | 94 | $23,592 | $3,169 | $1,646 – $3,511 |
| Oklahoma | 36 | $30,672 | $3,188 | $3,022 – $3,407 |
| Oregon | 27 | $18,507 | $3,976 | $3,204 – $4,547 |
| Pennsylvania | 96 | $35,871 | $3,531 | $3,224 – $3,947 |
| Rhode Island | 7 | $14,372 | $3,772 | $3,763 – $3,800 |
| South Carolina | 33 | $29,996 | $3,210 | $2,831 – $3,472 |
| South Dakota | 13 | $21,303 | $3,561 | $3,443 – $3,760 |
| Tennessee | 47 | $28,223 | $3,125 | $2,625 – $3,435 |
| Texas | 160 | $31,554 | $3,329 | $2,978 – $3,719 |
| Utah | 20 | $17,543 | $3,306 | $2,998 – $3,523 |
| Vermont | 5 | $15,388 | $2,034 | $1,982 – $2,262 |
| Virginia | 50 | $23,923 | $3,341 | $3,089 – $3,683 |
| Washington | 40 | $20,072 | $3,796 | $3,673 – $4,039 |
| West Virginia | 20 | $22,164 | $3,135 | $2,979 – $3,577 |
| Wisconsin | 51 | $24,472 | $3,450 | $3,198 – $3,642 |
| Wyoming | 7 | $6,744 | $3,760 | $3,760 – $3,760 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 588 | $21,324 | $3,168 |
| Univ of Tx M D Anderson CtrHouston, TX | 555 | $22,652 | $3,425 |
| New York-Presbyterian HospitalNew York, NY | 534 | $25,166 | $4,249 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 502 | $19,139 | $3,815 |
| Mayo ClinicJacksonville, FL | 487 | $23,016 | $3,222 |
| Duke University Medical CenterDurham, NC | 470 | $20,717 | $3,246 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 442 | $25,272 | $4,209 |
| UCSF Medical CenterSan Francisco, CA | 441 | $44,332 | $5,246 |
| Stanford HospitalPalo Alto, CA | 436 | $77,939 | $5,226 |
| Brigham and Women's HosptialBoston, MA | 408 | $22,325 | $3,975 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | 393 | $22,323 | $3,622 |
| NYU Hospitals CenterNew York, NY | 382 | $61,956 | $4,209 |
| Vanderbilt University HospitalNashville, TN | 370 | $28,862 | $3,064 |
| Barnes Jewish HospitalSt Louis, MO | 365 | $14,697 | $3,268 |
| Mayo Clinic HospitalPhoenix, AZ | 364 | $28,876 | $3,612 |
Questions
How much does level 4 airway endoscopy cost in the U.S.?
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 2,049 hospitals in the U.S. was billed at $27,795 on average, while the average medicare-allowed amount was $3,568, of which Medicare paid $2,833. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 airway endoscopy?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($4,778), Hawaii ($4,287), New York ($4,137) and lowest in Vermont ($2,034), Alabama ($3,038), Louisiana ($3,095).
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 the U.S., average charges were 7.8 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.