What 23 hospitals in Iowa charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in Iowa billed an average of $18,723 for level 4 airway endoscopy, about 5.7 times the average medicare-allowed amount of $3,269. That payment is 8% below 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.
About 17¢ was paid for every $1 hospitals in Iowa billed for this service.
Every Iowa 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 Iowa Hospital & ClinicsIowa City | 138 | $18,727 | $3,212 | $2,531 |
| Iowa Methodist Medical CenterDes Moines | 135 | $18,317 | $3,216 | $2,562 |
| Mercy Medical Center-Des MoinesDes Moines | 56 | $21,120 | $3,158 | $2,507 |
| Mercy Medical Center-North IowaMason City | 52 | $36,553 | $3,630 | $2,892 |
| Mercy Medical Center-DubuqueDubuque | 49 | $18,734 | $3,414 | $2,720 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 42 | $18,780 | $3,168 | $2,512 |
| St Lukes HospitalCedar Rapids | 38 | $17,895 | $3,229 | $2,573 |
| The Finley HospitalDubuque | 30 | $18,775 | $3,203 | $2,552 |
| Mary Greeley Medical CenterAmes | 29 | $11,047 | $3,216 | $2,562 |
| Southeast Iowa Regional Medical CenterWest Burlington | 28 | $9,456 | $3,459 | $2,756 |
| Genesis Medical Center-DavenportDavenport | 27 | $11,895 | $3,229 | $2,573 |
| Jennie Edmundson HospitalCouncil Bluffs | 26 | $16,996 | $3,374 | $2,689 |
| St Lukes Regional Medical CenterSioux City | 21 | $8,432 | $3,213 | $2,560 |
| Allen Memorial HospitalWaterloo | 15 | $15,215 | $3,203 | $2,552 |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Mercy HospitalIowa City | – | – | – | – |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Broadlawns Medical CenterDes Moines | – | – | – | – |
| Trinity Medical CenterDavenport | – | – | – | – |
| Spencer Municipal HospitalSpencer | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mercy Medical Center-Des MoinesDes Moines, IA | $3,158 |
|---|---|
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $3,168 |
| Allen Memorial HospitalWaterloo, IA | $3,203 |
| The Finley HospitalDubuque, IA | $3,203 |
| University of Iowa Hospital & ClinicsIowa City, IA | $3,212 |
| Mercy Medical Center-North IowaMason City, IA | $3,630 |
|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $3,459 |
| Mercy Medical Center-DubuqueDubuque, IA | $3,414 |
| Jennie Edmundson HospitalCouncil Bluffs, IA | $3,374 |
| Genesis Medical Center-DavenportDavenport, IA | $3,229 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 23 hospitals in Iowa was billed at $18,723 on average, while the average medicare-allowed amount was $3,269, of which Medicare paid $2,598. Your own cost depends on your insurance, deductible and the hospital.
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 Iowa, average charges were 5.7 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.