facebook tracking Level 4 Airway Endoscopy cost in Oregon: 27 hospitals compared (APC 5154)

Level 4 Airway Endoscopy in Oregon

What 27 hospitals in Oregon charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.

APC 5154 Outpatient 2024 Medicare data
Average charge $18,507 Hospital list price billed
Average allowed $3,976 Medicare's payment + patient's share
Medicare paid $3,161 Average per service
State rank #43 of 49 1 = lowest average payment

Hospitals in Oregon billed an average of $18,507 for level 4 airway endoscopy, about 4.7 times the average medicare-allowed amount of $3,976. That payment is 11% 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 $3,976Billed $18,507

About 21¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 4 airway endoscopy

Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
OHSU Hospital and ClinicsPortland 88 $16,817 $3,929 $3,125
Sacred Heart Medical Center - RiverbendSpringfield 71 $18,265 $3,851 $3,060
St Charles Medical Center - BendBend 65 $25,944 $3,908 $3,104
Good Samaritan Regional Medical CenterCorvallis 61 $16,051 $3,888 $3,098
Rogue Valley Medical CenterMedford 55 $15,816 $4,547 $3,619
Providence Portland Medical CenterPortland 33 $18,181 $3,929 $3,131
Providence St Vincent Medical CenterPortland 28 $14,017 $3,929 $3,131
Salem HospitalSalem 24 $20,518 $4,164 $3,318
Legacy Good Samaritan Medical CenterPortland 17 $18,642 $3,929 $3,131
McKenzie-Willamette Medical CenterSpringfield 15 $26,236 $3,895 $3,103
Three Rivers Community HospitalGrants Pass 12 $16,756 $3,204 $2,453
Legacy Emanuel Medical CenterPortland 12 $18,675 $3,929 $3,131
Bay Area HospitalCoos Bay 11 $15,700 $4,091 $3,260
Mid-Columbia Medical CenterThe Dalles – – – –
Hillsboro Medical CenterHillsboro – – – –
Samaritan Albany General HospitalAlbany – – – –
Legacy Mount Hood Medical CenterGresham – – – –
Mercy Medical CenterRoseburg – – – –
Providence Newberg HospitalNewberg – – – –
Providence Willamette Falls Medical CenterOregon City – – – –
St Alphonsus Medical Center - Ontario, INCOntario – – – –
Santiam Memorial HospitalStayton – – – –
Adventist Medical CenterPortland – – – –
Willamette Valley Medical CtrMcMinnville – – – –
Providence Medford Medical CenterMedford – – – –
Legacy Meridian Park Medical CenterTualatin – – – –
Kaiser Sunnyside Medical CenterClackamas – – – –
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Lowest and highest allowed amounts in Oregon

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Rogue Valley Medical CenterMedford, OR$4,547
Salem HospitalSalem, OR$4,164
Bay Area HospitalCoos Bay, OR$4,091
OHSU Hospital and ClinicsPortland, OR$3,929
Providence St Vincent Medical CenterPortland, OR$3,929

Level 4 Airway Endoscopy in other states

Questions

How much does level 4 airway endoscopy cost in Oregon?

In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 27 hospitals in Oregon was billed at $18,507 on average, while the average medicare-allowed amount was $3,976, of which Medicare paid $3,161. 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 Oregon, average charges were 4.7 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.