facebook tracking Level 4 Airway Endoscopy cost in Virginia: 50 hospitals compared (APC 5154)

Level 4 Airway Endoscopy in Virginia

What 50 hospitals in Virginia charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.

APC 5154 Outpatient 2024 Medicare data
Average charge $23,923 Hospital list price billed
Average allowed $3,341 Medicare's payment + patient's share
Medicare paid $2,656 Average per service
State rank #21 of 49 1 = lowest average payment

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.

Paid $3,341Billed $23,923

About 14¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 4 airway endoscopy

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 – – – –
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Lowest and highest allowed amounts in Virginia

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

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

Highest

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

Level 4 Airway Endoscopy in other states

Questions

How much does level 4 airway endoscopy cost in Virginia?

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.

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 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.