What 44 hospitals in Kentucky charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in Kentucky billed an average of $22,987 for level 4 airway endoscopy, about 7.2 times the average medicare-allowed amount of $3,200. That payment is 10% 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 14¢ was paid for every $1 hospitals in Kentucky billed for this service.
Every Kentucky 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 Kentucky HospLexington | 209 | $21,505 | $3,085 | $2,424 |
| Norton Healthcare PavilionLouisville | 105 | $18,988 | $3,145 | $2,491 |
| Hardin Memorial HospitalElizabethtown | 75 | $29,044 | $3,226 | $2,568 |
| Owensboro Medical Health SystemOwensboro | 71 | $17,340 | $3,426 | $2,721 |
| University of Louisville HospitalLouisville | 67 | $27,258 | $3,074 | $2,415 |
| The Medical Center at Bowling GreenBowling Green | 60 | $14,512 | $3,235 | $2,578 |
| Baptist Hospital EastLouisville | 52 | $28,840 | $3,187 | $2,531 |
| St Elizabeth Med Center-SouthEdgewood | 50 | $28,052 | $3,067 | $2,412 |
| King's Daughters' Medical CenterAshland | 47 | $26,569 | $3,190 | $2,542 |
| Jewish HospitalLouisville | 42 | $17,117 | $3,086 | $2,438 |
| Western Baptist HospitalPaducah | 42 | $28,358 | $3,426 | $2,730 |
| Central Baptist HospitalLexington | 39 | $27,915 | $3,215 | $2,555 |
| Lake Cumberland Regional HospitalSomerset | 32 | $37,548 | $3,452 | $2,750 |
| Pikeville Medical CenterPikeville | 28 | $18,787 | $3,401 | $2,710 |
| Baptist Regional Medical CtrCorbin | 26 | $19,441 | $3,045 | $2,407 |
| Ephraim McDowell Regional Medical CenterDanville | 22 | $9,417 | $3,223 | $2,568 |
| T J Samson Community HospitalGlasgow | 17 | $15,576 | $3,435 | $2,737 |
| Baptist Health Deaconess MadisonvilleMadisonville | 13 | $38,862 | $3,465 | $2,760 |
| Lourdes HospitalPaducah | 13 | $22,284 | $3,426 | $2,730 |
| Saint Joseph HospitalLexington | 11 | $25,634 | $3,243 | $2,584 |
| Saint Joseph LondonLondon | 11 | $17,870 | $3,142 | $2,486 |
| St Elizabeth Ft ThomasFort Thomas | – | – | – | – |
| Whitesburg Arh HospitalWhitesburg | – | – | – | – |
| Muhlenberg Community HospitalGreenville | – | – | – | – |
| Highlands Regional Medical CenterPrestonsburg | – | – | – | – |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| Meadowview Regional Medical CenterMaysville | – | – | – | – |
| Murray-Calloway County HospitalMurray | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| St Elizabeth FlorenceFlorence | – | – | – | – |
| Baptist Health RichmondRichmond | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| Jennie Stuart Medical CenterHopkinsville | – | – | – | – |
| Deaconess Henderson HospitalHenderson | – | – | – | – |
| Williamson Arh HospitalSouth Williamson | – | – | – | – |
| Twin Lakes Regional Medical CenterLeitchfield | – | – | – | – |
| Paintsville Arh HospitalPaintsville | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Taylor Regional HospitalCampbellsville | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Jackson Purchase Medical CenterMayfield | – | – | – | – |
| Frankfort Regional Medical CenterFrankfort | – | – | – | – |
| Saint Joseph EastLexington | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Baptist Regional Medical CtrCorbin, KY | $3,045 |
|---|---|
| St Elizabeth Med Center-SouthEdgewood, KY | $3,067 |
| University of Louisville HospitalLouisville, KY | $3,074 |
| University of Kentucky HospLexington, KY | $3,085 |
| Jewish HospitalLouisville, KY | $3,086 |
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $3,465 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $3,452 |
| T J Samson Community HospitalGlasgow, KY | $3,435 |
| Lourdes HospitalPaducah, KY | $3,426 |
| Western Baptist HospitalPaducah, KY | $3,426 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 44 hospitals in Kentucky was billed at $22,987 on average, while the average medicare-allowed amount was $3,200, of which Medicare paid $2,534. 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 Kentucky, average charges were 7.2 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.