facebook tracking Level 4 Airway Endoscopy cost in Pennsylvania: 96 hospitals compared (APC 5154)

Level 4 Airway Endoscopy in Pennsylvania

What 96 hospitals in Pennsylvania charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.

APC 5154 Outpatient 2024 Medicare data
Average charge $35,871 Hospital list price billed
Average allowed $3,531 Medicare's payment + patient's share
Medicare paid $2,805 Average per service
State rank #29 of 49 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $35,871 for level 4 airway endoscopy, about 10.2 times the average medicare-allowed amount of $3,531. That payment is 1% 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.

Paid $3,531Billed $35,871

About 10¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: level 4 airway endoscopy

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

Hospital Services Avg charge Avg allowed Medicare paid
Hospital of the Univ of PaPhiladelphia 318 $45,312 $3,739 $2,971
UPMC Presbyterian ShadysidePittsburgh 214 $51,861 $3,224 $2,544
Thomas Jefferson University HospitalPhiladelphia 179 $27,843 $3,540 $2,813
Temple University HospitalPhiladelphia 170 $56,301 $3,720 $2,954
Lehigh Valley HospitalAllentown 158 $58,142 $3,597 $2,854
Main Line Hospital LankenauWynnewood 137 $27,618 $3,592 $2,857
Geisinger Medical CenterDanville 109 $47,207 $3,298 $2,616
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 108 $25,459 $3,773 $3,006
St Luke's Hospital BethlehemBethlehem 106 $53,486 $3,625 $2,883
Fox Chase Cancer CenterPhiladelphia 91 $43,089 $3,581 $2,842
Milton S Hershey Medical CenterHershey 66 $38,168 $3,371 $2,658
UPMC Pinnacle HospitalsHarrisburg 65 $14,951 $3,356 $2,674
Lancaster General HospitalLancaster 61 $15,278 $3,438 $2,728
York HospitalYork 54 $20,613 $3,525 $2,808
UPMC PassavantPittsburgh 53 $33,204 $3,345 $2,665
Dubois Regional Medical CenterDubois 49 $17,191 $3,524 $2,796
Reading Hospital and Med CtrWest Reading 48 $22,232 $3,421 $2,726
Doylestown HospitalDoylestown 46 $27,614 $3,613 $2,878
St Luke's Hospital - Anderson CampusEaston 45 $46,438 $3,413 $2,719
Allegheny General HospitalPittsburgh 43 $31,109 $3,345 $2,665
Abington Memorial HospitalAbington 43 $29,885 $3,513 $2,799
Jefferson Einstein Montgomery HospitalEast Norriton 43 $21,719 $3,513 $2,799
Robert Packer HospitalSayre 42 $21,770 $3,375 $2,676
Geisinger-Community Medical CenterScranton 38 $29,495 $3,345 $2,665
UPMC MercyPittsburgh 38 $28,925 $3,237 $2,558
Riddle Memorial HospitalMedia 33 $20,578 $3,638 $2,899
Altoona Regional Health SystemAltoona 32 $18,012 $3,582 $2,854
Penn Presbyterian Medical CenterPhiladelphia 30 $50,944 $3,700 $2,933
Hamot Medical CenterErie 29 $37,630 $3,838 $3,036
Grand View HospitalSellersville 28 $18,668 $3,613 $2,878
Jefferson Health- NortheastPhiladelphia 27 $18,081 $3,638 $2,899
Latrobe Area HospitalLatrobe 27 $19,325 $3,345 $2,665
Chambersburg HospitalChambersburg 24 $23,408 $3,736 $2,977
Geisinger Wyoming Vly Med CtrWilkes-Barre 24 $38,833 $3,345 $2,663
Main Line Hospital Bryn Mawr CampusBryn Mawr 22 $16,780 $3,613 $2,878
Albert Einstein Medical CenterPhiladelphia 22 $22,714 $3,638 $2,897
Mount Nittany Medical CenterState College 22 $28,580 $3,779 $3,011
Lehigh Valley Hospital - Dickson CityDickson City 22 $19,004 $3,345 $2,665
Heritage Valley BeaverBeaver 21 $12,487 $3,345 $2,662
AHN Wexford HospitalWexford 21 $32,068 $3,345 $2,665
Chester County HospitalWest Chester 20 $39,796 $3,613 $2,873
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 20 $18,324 $3,345 $2,665
Saint Vincent Health CenterErie 19 $29,073 $3,947 $3,145
Hanover HospitalHanover 18 $19,310 $3,525 $2,808
Pocono Medical CenterEast Stroudsburg 17 $27,203 $3,481 $2,739
St Clair Memorial HospitalPittsburgh 17 $16,603 $3,345 $2,665
Meadville Medical CenterMeadville 16 $15,091 $3,582 $2,854
Ephrata Community HospitalEphrata 16 $37,599 $3,415 $2,721
Penn State Health Hampden Medical CenterEnola 16 $50,336 $3,356 $2,674
Lewistown HospitalLewistown 15 $28,626 $3,433 $2,730
Williamsport Hospital & Medical CenterWilliamsport 14 $23,028 $3,345 $2,665
Holy Redeemer Hosp and Med CtrJenkintown 12 $24,458 $3,513 $2,799
Crozer Chester Medical CenterChester 12 $36,358 $3,638 $2,899
Mercy Hospital ScrantonScranton 12 $35,394 $3,345 $2,665
St Mary Medical CenterLanghorne 12 $20,506 $3,722 $2,965
Washington Hospital, theWashington 11 $12,785 $3,345 $2,665
St Joseph Medical CenterReading 11 $33,845 $3,415 $2,704
Indiana Regional Medical CenterIndiana 11 $12,816 $3,588 $2,859
Holy Spirit HospitalCamp Hill – – – –
Jameson Memorial HospitalNew Castle – – – –
Chestnut Hill HospitalPhiladelphia – – – –
Schuylkill Medical Center - South Jackson StreetPottsville – – – –
St Luke's Quakertown HospitalQuakertown – – – –
Somerset HospitalSomerset – – – –
Uniontown HospitalUniontown – – – –
Nason HospitalRoaring Spring – – – –
Good Samaritan HospitalLebanon – – – –
West Penn HospitalPittsburgh – – – –
Northwest Medical CenterOil City – – – –
UPMC MemorialYork – – – –
UPMC St MargaretPittsburgh – – – –
Conemaugh Valley Memorial HospitalJohnstown – – – –
UPMC BedfordEverett – – – –
Pottstown Memorial Med CenterPottstown – – – –
Wayne Memorial HospitalHonesdale – – – –
Phoenixville HospitalPhoenixville – – – –
Wilkes-Barre General HospitalWilkes-Barre – – – –
Excela Health Westmoreland Regional HospitalGreensburg – – – –
Main Line Hospital PaoliPaoli – – – –
Mercy Health SystemConshohocken – – – –
Canonsburg General HospitalCanonsburg – – – –
Butler Health SystemButler – – – –
Highlands HospitalConnellsville – – – –
Hazleton General HospitalHazleton – – – –
Punxsutawney Area HospitalPunxsutawney – – – –
Nazareth HospitalPhiladelphia – – – –
Jefferson Regional Medical CenterClairton – – – –
Grove City Medical CenterGrove City – – – –
Surgical Institute of ReadingWyomissing – – – –
Physicians Care Surgical HospitalRoyersford – – – –
UPMC EastMonroeville – – – –
St Luke's Hospital - Monroe CampusStroudsburg – – – –
Geisinger St. Luke's HospitalOrwigsburg – – – –
St Luke's Hospital - Carbon CampusLehighton – – – –
Penn State Health Lancaster Medical CenterLancaster – – – –
Children's Hospital of PhiladelphiaPhiladelphia – – – –
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Lowest and highest allowed amounts in Pennsylvania

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

UPMC Presbyterian ShadysidePittsburgh, PA$3,224
UPMC MercyPittsburgh, PA$3,237
Geisinger Medical CenterDanville, PA$3,298
Geisinger-Community Medical CenterScranton, PA$3,345
Washington Hospital, theWashington, PA$3,345

Highest

Level 4 Airway Endoscopy in other states

Questions

How much does level 4 airway endoscopy cost in Pennsylvania?

In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 96 hospitals in Pennsylvania was billed at $35,871 on average, while the average medicare-allowed amount was $3,531, of which Medicare paid $2,805. 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 Pennsylvania, average charges were 10.2 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.