What 29 hospitals in Minnesota charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in Minnesota billed an average of $18,040 for level 4 airway endoscopy, about 4.9 times the average medicare-allowed amount of $3,679. That payment is 3% 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.
About 20¢ was paid for every $1 hospitals in Minnesota billed for this service.
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 502 | $19,139 | $3,815 | $3,030 |
| University of Minnesota Medical Center, FairviewMinneapolis | 157 | $22,200 | $3,521 | $2,805 |
| Essentia Health St Mary's Medical CenterDuluth | 89 | $19,424 | $3,458 | $2,734 |
| St Cloud HospitalSt Cloud | 79 | $12,651 | $3,805 | $3,032 |
| United HospitalSt Paul | 58 | $13,454 | $3,580 | $2,852 |
| Abbott Northwestern Hospital INCMinneapolis | 54 | $16,520 | $3,580 | $2,852 |
| Regions HospitalSt Paul | 53 | $15,106 | $3,580 | $2,852 |
| Park Nicollet Methodist HospitalSaint Louis Park | 44 | $18,412 | $3,580 | $2,852 |
| St Lukes HospitalDuluth | 40 | $9,855 | $3,482 | $2,760 |
| Mayo Clinic Health System - MankatoMankato | 39 | $18,592 | $3,760 | $2,980 |
| Mercy HospitalCoon Rapids | 21 | $14,909 | $3,580 | $2,852 |
| North Memorial Medical CenterRobbinsdale | 19 | $15,516 | $3,580 | $2,852 |
| St John's HospitalSt Paul | 15 | $21,518 | $3,580 | $2,852 |
| Essentia Health DuluthDuluth | 14 | $14,634 | $3,486 | $2,777 |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Lake Region Healthcare CorporationFergus Falls | – | – | – | – |
| Ridgeview Medical CenterWaconia | – | – | – | – |
| Essentia Health St Joseph's Medical CenterBrainerd | – | – | – | – |
| Fairview Southdale HospitalEdina | – | – | – | – |
| Virginia Regional Medical CenterVirginia | – | – | – | – |
| Rice Memorial HospitalWillmar | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| St Marys Regional Health CenterDetroit Lakes | – | – | – | – |
| Fairview Northland Regional HospitalPrinceton | – | – | – | – |
| Fairview Ridges HospitalBurnsville | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
| Maple Grove HospitalMaple Grove | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Essentia Health St Mary's Medical CenterDuluth, MN | $3,458 |
|---|---|
| St Lukes HospitalDuluth, MN | $3,482 |
| Essentia Health DuluthDuluth, MN | $3,486 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $3,521 |
| North Memorial Medical CenterRobbinsdale, MN | $3,580 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $3,815 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $3,805 |
| Mayo Clinic Health System - MankatoMankato, MN | $3,760 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $3,580 |
| North Memorial Medical CenterRobbinsdale, MN | $3,580 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 29 hospitals in Minnesota was billed at $18,040 on average, while the average medicare-allowed amount was $3,679, of which Medicare paid $2,925. 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 Minnesota, 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.