Level 4 Airway Endoscopy in Wisconsin
What 51 hospitals in Wisconsin charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Average charge
$24,472
Hospital list price billed
Average allowed
$3,450
Medicare's payment + patient's share
Medicare paid
$2,741
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $24,472 for level 4 airway endoscopy, about 7.1 times the average medicare-allowed amount of $3,450. 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.
Paid $3,450Billed $24,472
About 14¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 4 airway endoscopy
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 261 | $21,878 | $3,453 | $2,741 |
| Froedtert Mem Lutheran HsptlMilwaukee | 114 | $36,461 | $3,475 | $2,758 |
| Luther Hospital Mayo Health SystemEau Claire | 78 | $20,013 | $3,553 | $2,831 |
| Aurora St Lukes Medical CenterMilwaukee | 71 | $33,398 | $3,498 | $2,782 |
| Aurora Baycare Med CtrGreen Bay | 65 | $23,794 | $3,330 | $2,645 |
| Aurora Med Ctr KenoshaKenosha | 52 | $32,982 | $3,468 | $2,752 |
| Aspirus Wausau HospitalWausau | 51 | $19,017 | $3,351 | $2,670 |
| Meriter HsptlMadison | 47 | $19,309 | $3,496 | $2,785 |
| Gundersen Luth Med CtrLa Crosse | 42 | $18,798 | $3,528 | $2,811 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 32 | $32,079 | $3,524 | $2,807 |
| Bellin Memorial HsptlGreen Bay | 30 | $21,949 | $3,262 | $2,577 |
| Beloit Mem HsptlBeloit | 26 | $34,716 | $3,642 | $2,902 |
| Waukesha Memorial HospitalWaukesha | 25 | $29,521 | $3,412 | $2,718 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 24 | $15,530 | $3,528 | $2,811 |
| Appleton Med CtrAppleton | 22 | $12,796 | $3,253 | $2,567 |
| Froedtert SouthKenosha | 19 | $25,441 | $3,374 | $2,655 |
| Marshfield Medical CenterMarshfield | 19 | $12,407 | $3,589 | $2,859 |
| St Elizabeth HsptlAppleton | 18 | $19,004 | $3,375 | $2,686 |
| Mercy Hlth Sys CorpJanesville | 18 | $21,453 | $3,317 | $2,643 |
| Aurora Medical CenterGrafton | 16 | $20,622 | $3,412 | $2,718 |
| Marshfield Medical Center - Eau ClaireEau Claire | 16 | $14,239 | $3,198 | $2,514 |
| St Mary's HospitalMadison | 11 | $14,072 | $3,496 | $2,780 |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aspirus Rhinelander HospitalRhinelander | – | – | – | – |
| Monroe ClinicMonroe | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Aurora Med Center-Washington CountyHartford | – | – | – | – |
| St Nicholas HospitalSheboygan | – | – | – | – |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| Aurora Memorial Hsptl BurlingtonBurlington | – | – | – | – |
| St Josephs Com Hsptl West BendWest Bend | – | – | – | – |
| Fort HealthcareFort Atkinson | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| St Agnes HsptlFond du Lac | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| Aurora Lakeland Med CtrElkhorn | – | – | – | – |
| Community Mem HsptlMenomonee Falls | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Aurora West Allis Medical CenterWest Allis | – | – | – | – |
| Oakleaf Surgical HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
| SSM Health St Mary's Hospital - JanesvilleJanesville | – | – | – | – |
| Marshfield Medical Center - MinocquaMinocqua | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Marshfield Medical Center - Eau ClaireEau Claire, WI | $3,198 |
|---|---|
| Appleton Med CtrAppleton, WI | $3,253 |
| Bellin Memorial HsptlGreen Bay, WI | $3,262 |
| Mercy Hlth Sys CorpJanesville, WI | $3,317 |
| Aurora Baycare Med CtrGreen Bay, WI | $3,330 |
Highest
| Beloit Mem HsptlBeloit, WI | $3,642 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $3,589 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $3,553 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $3,528 |
| Gundersen Luth Med CtrLa Crosse, WI | $3,528 |
Level 4 Airway Endoscopy in other states
Questions
How much does level 4 airway endoscopy cost in Wisconsin?
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 51 hospitals in Wisconsin was billed at $24,472 on average, while the average medicare-allowed amount was $3,450, of which Medicare paid $2,741. 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 Wisconsin, average charges were 7.1 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.