facebook tracking Level 4 Airway Endoscopy cost in Iowa: 23 hospitals compared (APC 5154)

Level 4 Airway Endoscopy in Iowa

What 23 hospitals in Iowa charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.

APC 5154 Outpatient 2024 Medicare data
Average charge $18,723 Hospital list price billed
Average allowed $3,269 Medicare's payment + patient's share
Medicare paid $2,598 Average per service
State rank #13 of 49 1 = lowest average payment

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.

Paid $3,269Billed $18,723

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

Iowa hospitals: level 4 airway endoscopy

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 – – – –
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Lowest and highest allowed amounts in Iowa

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

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

Highest

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

Level 4 Airway Endoscopy in other states

Questions

How much does level 4 airway endoscopy cost in Iowa?

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.

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 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.