facebook tracking Level 4 Airway Endoscopy cost in Hawaii: 9 hospitals compared (APC 5154)

Level 4 Airway Endoscopy in Hawaii

What 9 hospitals in Hawaii charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.

APC 5154 Outpatient 2024 Medicare data
Average charge $21,104 Hospital list price billed
Average allowed $4,287 Medicare's payment + patient's share
Medicare paid $3,410 Average per service
State rank #48 of 49 1 = lowest average payment

Hospitals in Hawaii billed an average of $21,104 for level 4 airway endoscopy, about 4.9 times the average medicare-allowed amount of $4,287. That payment is 20% above the U.S. average 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.

Paid $4,287Billed $21,104

About 20¢ was paid for every $1 hospitals in Hawaii billed for this service.

Hawaii hospitals: level 4 airway endoscopy

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

Hospital Services Avg charge Avg allowed Medicare paid
The Queens Medical CenterHonolulu 77 $22,642 $4,274 $3,396
Straub Clinic and HospitalHonolulu 27 $20,959 $4,307 $3,432
Pali Momi Medical CenterAiea 25 $16,523 $4,307 $3,432
Maui Memorial Medical CenterWailuku – – – –
Hilo Medical CenterHilo – – – –
Castle Medical CenterKailua – – – –
Kaiser Foundation HospitalHonolulu – – – –
Wilcox Memorial HospitalLihue – – – –
Kapiolani Med Ctr for WomenHonolulu – – – –
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Lowest and highest allowed amounts in Hawaii

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

The Queens Medical CenterHonolulu, HI$4,274
Straub Clinic and HospitalHonolulu, HI$4,307
Pali Momi Medical CenterAiea, HI$4,307

Highest

Straub Clinic and HospitalHonolulu, HI$4,307
Pali Momi Medical CenterAiea, HI$4,307
The Queens Medical CenterHonolulu, HI$4,274

Level 4 Airway Endoscopy in other states

Questions

How much does level 4 airway endoscopy cost in Hawaii?

In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 9 hospitals in Hawaii was billed at $21,104 on average, while the average medicare-allowed amount was $4,287, of which Medicare paid $3,410. 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 Hawaii, average charges were 4.9 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.