What 50 hospitals in Virginia charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in Virginia billed an average of $23,923 for level 4 airway endoscopy, about 7.2 times the average medicare-allowed amount of $3,341. That payment is 6% 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 Virginia billed for this service.
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 234 | $10,266 | $3,476 | $2,762 |
| University of Virginia Medical CenterCharlottesville | 205 | $17,500 | $3,430 | $2,733 |
| Sentara Norfolk General HospitalNorfolk | 121 | $22,363 | $3,173 | $2,510 |
| Medical College of Virginia HospitalsRichmond | 100 | $30,963 | $3,230 | $2,572 |
| Riverside Regional Medical CenterNewport News | 92 | $19,824 | $3,224 | $2,567 |
| Carilion Medical CenterRoanoke | 82 | $18,324 | $3,200 | $2,550 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 61 | $25,339 | $3,453 | $2,751 |
| Winchester Medical Center INCWinchester | 51 | $15,473 | $3,568 | $2,819 |
| Henrico Doctors' HospitalRichmond | 51 | $94,851 | $3,252 | $2,591 |
| Virginia Hospital Center - ArlingtonArlington | 50 | $18,720 | $3,512 | $2,798 |
| Martha Jefferson HospitalCharlottesville | 45 | $17,432 | $3,198 | $2,536 |
| Sentara Bayside HospitalVirginia Beach | 43 | $21,907 | $3,198 | $2,534 |
| Cjw Medical CenterRichmond | 41 | $65,915 | $3,224 | $2,567 |
| Chesapeake General HospitalChesapeake | 39 | $22,827 | $3,258 | $2,596 |
| Carilion New River Vly Med CtrChristiansburg | 38 | $20,898 | $3,224 | $2,568 |
| Mary Washington Hospital, INCFredericksburg | 35 | $17,402 | $3,512 | $2,798 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 31 | $20,619 | $3,438 | $2,740 |
| Lewisgale Medical CenterSalem | 26 | $53,780 | $3,224 | $2,569 |
| Reston Hospital CenterReston | 26 | $24,632 | $3,439 | $2,718 |
| Sentara Rmh Medical CenterHarrisonburg | 24 | $15,575 | $3,683 | $2,934 |
| Sentara Leigh HospitalNorfolk | 22 | $19,709 | $3,258 | $2,596 |
| Johnston Memorial HospitalAbingdon | 22 | $24,827 | $3,107 | $2,435 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 19 | $10,401 | $3,089 | $2,434 |
| Southside Community Hospital, INCFarmville | 17 | $38,350 | $3,490 | $2,780 |
| Sentara Virginia Beach General HospitalVirginia Beach | 15 | $25,574 | $3,258 | $2,596 |
| Augusta HealthFishersville | 14 | $21,829 | $3,620 | $2,884 |
| Danville Regional Medical CenterDanville | 14 | $59,895 | $3,327 | $2,651 |
| Sentara Careplex HospitalHampton | 14 | $21,064 | $3,258 | $2,596 |
| Mary Immaculate HospitalNewport News | 13 | $19,775 | $3,224 | $2,567 |
| Southside Regional Medical CenterPetersburg | 13 | $50,868 | $3,259 | $2,582 |
| Bon Secours - St Francis Medical CenterMidlothian | 13 | $19,216 | $3,256 | $2,594 |
| Inova Loudoun HospitalLeesburg | 12 | $14,649 | $3,278 | $2,565 |
| Sentara Northern Virginia Medical CenterWoodbridge | 12 | $13,323 | $3,512 | $2,798 |
| Bon Secours - Maryview Medical CenterPortsmouth | – | – | – | – |
| John Randolph Medical CenterHopewell | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Warren Memorial HospitalFront Royal | – | – | – | – |
| Inova Alexandria HospitalAlexandria | – | – | – | – |
| Sentara Obici HospitalSuffolk | – | – | – | – |
| Prince William HospitalManassas | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | – | – | – | – |
| Bon Secours - Memorial Regional MedicalMechanicsville | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Community Memorial Healthcenter, INCSouth Hill | – | – | – | – |
| Inova Fair Oaks HospitalFairfax | – | – | – | – |
| Montgomery Regional HospitalBlacksburg | – | – | – | – |
| Wellmont Lonesome Pine HospitalBig Stone Gap | – | – | – | – |
| Inova Mount Vernon HospitalAlexandria | – | – | – | – |
| Spotsylvania Regional Medical CenterFredericksburg | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $3,089 |
|---|---|
| Johnston Memorial HospitalAbingdon, VA | $3,107 |
| Sentara Norfolk General HospitalNorfolk, VA | $3,173 |
| Sentara Bayside HospitalVirginia Beach, VA | $3,198 |
| Martha Jefferson HospitalCharlottesville, VA | $3,198 |
| Sentara Rmh Medical CenterHarrisonburg, VA | $3,683 |
|---|---|
| Augusta HealthFishersville, VA | $3,620 |
| Winchester Medical Center INCWinchester, VA | $3,568 |
| Mary Washington Hospital, INCFredericksburg, VA | $3,512 |
| Virginia Hospital Center - ArlingtonArlington, VA | $3,512 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 50 hospitals in Virginia was billed at $23,923 on average, while the average medicare-allowed amount was $3,341, of which Medicare paid $2,656. 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 Virginia, 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.