Level 4 Airway Endoscopy in Massachusetts
What 46 hospitals in Massachusetts charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Average charge
$18,351
Hospital list price billed
Average allowed
$3,988
Medicare's payment + patient's share
Medicare paid
$3,170
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $18,351 for level 4 airway endoscopy, about 4.6 times the average medicare-allowed amount of $3,988. That payment is 12% 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 $3,988Billed $18,351
About 22¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 4 airway endoscopy
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 408 | $22,325 | $3,975 | $3,157 |
| Massachusetts General HospitalBoston | 271 | $27,018 | $3,975 | $3,157 |
| Massachusetts Eye and Ear InfirmaryBoston | 262 | $8,199 | $3,978 | $3,161 |
| Lahey Clinic HospitalBurlington | 150 | $16,399 | $3,987 | $3,172 |
| Beth Israel Deaconess Medical CenterBoston | 133 | $15,405 | $4,007 | $3,192 |
| Umass Memorial Medical Center INCWorcester | 84 | $25,358 | $3,946 | $3,126 |
| Baystate Medical CenterSpringfield | 81 | $12,129 | $3,943 | $3,124 |
| Cape Cod HospitalHyannis | 68 | $13,202 | $4,022 | $3,204 |
| Berkshire Medical Center INCPittsfield | 52 | $20,609 | $4,224 | $3,365 |
| Lowell General HospitalLowell | 46 | $13,428 | $3,952 | $3,135 |
| Southcoast Hospital Group, INCFall River | 44 | $15,877 | $3,903 | $3,095 |
| Boston Medical Center CorporationBoston | 43 | $15,218 | $4,022 | $3,204 |
| South Shore HospitalSouth Weymouth | 39 | $7,305 | $4,022 | $3,202 |
| Tufts Medical CenterBoston | 35 | $20,243 | $4,022 | $3,204 |
| St Vincent HospitalWorcester | 32 | $51,007 | $4,022 | $3,204 |
| Mercy Medical CenterSpringfield | 28 | $19,555 | $4,022 | $3,204 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 26 | $18,143 | $4,022 | $3,204 |
| Boston Medical Center-BrightonBrighton | 26 | $14,715 | $3,899 | $3,078 |
| Union HospitalLynn | 20 | $16,508 | $4,022 | $3,204 |
| Sturdy Memorial HospitalAttleboro | 18 | $13,371 | $4,022 | $3,203 |
| Mount Auburn HospitalCambridge | 17 | $7,559 | $4,022 | $3,204 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 17 | $12,892 | $4,022 | $3,204 |
| Milford Regional Medical CenterMilford | 17 | $10,938 | $4,022 | $3,203 |
| Beverly Hospital CorporationBeverly | 11 | $9,906 | $4,022 | $3,204 |
| Healthalliance Hospitals, INCLeominster | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Marlborough HospitalMarlborough | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Beth Israel Deaconess Hospital PlymouthPlymouth | – | – | – | – |
| Melrosewakefield HealthcareMelrose | – | – | – | – |
| Morton Hospital & Medical CenterTaunton | – | – | – | – |
| Holy Family Hospital, a Caritas Family HospitalMethuen | – | – | – | – |
| Beth Israel Deaconess Hospital - NeedhamNeedham | – | – | – | – |
| Emerson HospitalConcord | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Newton-Wellesley HospitalNewton Lower Falls | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
| Faulkner HospitalBoston | – | – | – | – |
| Falmouth HospitalFalmouth | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Boston Medical Center-BrightonBrighton, MA | $3,899 |
|---|---|
| Southcoast Hospital Group, INCFall River, MA | $3,903 |
| Baystate Medical CenterSpringfield, MA | $3,943 |
| Umass Memorial Medical Center INCWorcester, MA | $3,946 |
| Lowell General HospitalLowell, MA | $3,952 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $4,224 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $4,022 |
| Milford Regional Medical CenterMilford, MA | $4,022 |
| Sturdy Memorial HospitalAttleboro, MA | $4,022 |
| Mount Auburn HospitalCambridge, MA | $4,022 |
Level 4 Airway Endoscopy in other states
Questions
How much does level 4 airway endoscopy cost in Massachusetts?
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 46 hospitals in Massachusetts was billed at $18,351 on average, while the average medicare-allowed amount was $3,988, of which Medicare paid $3,170. 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 Massachusetts, average charges were 4.6 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.