What 10 hospitals in New Mexico charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in New Mexico billed an average of $24,828 for level 4 airway endoscopy, about 7.2 times the average medicare-allowed amount of $3,444. That payment is 3% 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 New Mexico billed for this service.
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UNM HospitalAlbuquerque | 67 | $12,020 | $3,314 | $2,641 |
| St Vincent HospitalSanta Fe | 53 | $28,029 | $3,792 | $3,021 |
| Lovelace Medical CenterAlbuquerque | 22 | $44,362 | $3,314 | $2,641 |
| Memorial Medical Center INCLas Cruces | 19 | $33,867 | $3,261 | $2,598 |
| Presbyterian HospitalAlbuquerque | 13 | $18,086 | $3,314 | $2,641 |
| Lovelace Westside HospitalAlbuquerque | 13 | $38,266 | $3,315 | $2,636 |
| CHRISTUS Southern New MexicoAlamogordo | – | – | – | – |
| San Juan Regional Medical CenterFarmington | – | – | – | – |
| Eastern New Mexico Medical CenterRoswell | – | – | – | – |
| Mountain View Regional Medical CenterLas Cruces | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Memorial Medical Center INCLas Cruces, NM | $3,261 |
|---|---|
| UNM HospitalAlbuquerque, NM | $3,314 |
| Lovelace Medical CenterAlbuquerque, NM | $3,314 |
| Presbyterian HospitalAlbuquerque, NM | $3,314 |
| Lovelace Westside HospitalAlbuquerque, NM | $3,315 |
| St Vincent HospitalSanta Fe, NM | $3,792 |
|---|---|
| Lovelace Westside HospitalAlbuquerque, NM | $3,315 |
| UNM HospitalAlbuquerque, NM | $3,314 |
| Lovelace Medical CenterAlbuquerque, NM | $3,314 |
| Presbyterian HospitalAlbuquerque, NM | $3,314 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 10 hospitals in New Mexico was billed at $24,828 on average, while the average medicare-allowed amount was $3,444, of which Medicare paid $2,744. 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 New Mexico, 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.