facebook tracking Level 5 Airway Endoscopy cost: hospital prices by state (APC 5155)

Level 5 Airway Endoscopy

What 1,784 hospitals in the U.S. charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.

APC 5155 Outpatient 2024 Medicare data
Average charge $48,356 Hospital list price billed
Average allowed $6,508 Medicare's payment + patient's share
Medicare paid $5,183 Average per service
Volume 34,263 Medicare services

Hospitals in the U.S. billed an average of $48,356 for level 5 airway endoscopy, about 7.4 times the average medicare-allowed amount of $6,508.

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.

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Lowest and highest allowed amounts

Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Fletcher Allen Hospital of VermontBurlington, VT$3,788
Memorial Hospital at GulfportGulfport, MS$4,808
Piedmont HospitalAtlanta, GA$5,081
Rush Foundation HospitalMeridian, MS$5,271
Delray Medical CenterDelray Beach, FL$5,345
Terrebonne General Medical CenterHouma, LA$5,376
Crestwood Medical CenterHuntsville, AL$5,378
Shands Hospital at the University of FloridaGainesville, FL$5,380
Ochsner Foundation HospitalNew Orleans, LA$5,400
Piedmont Augusta HospitalAugusta, GA$5,474

Highest

Peninsula Medical CenterBurlingame, CA$9,776
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$9,776
El Camino HospitalMountain View, CA$9,631
Good Samaritan HospitalSan Jose, CA$9,631
UCSF Medical CenterSan Francisco, CA$9,579
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA$9,524
John Muir Medical Center - Concord CampusConcord, CA$9,524
Stanford HospitalPalo Alto, CA$9,521
Santa Barbara Cottage HospitalSanta Barbara, CA$9,008
Sutter Roseville Medical CenterRoseville, CA$8,738

Level 5 Airway Endoscopy cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg allowed Range
Alabama 35 $67,383 $5,590 $5,300 – $5,713
Alaska 3 $41,782 $7,064 $7,064 – $7,064
Arizona 26 $44,542 $6,645 $6,550 – $6,849
Arkansas 22 $21,683 $5,897 $5,609 – $6,287
California 145 $80,647 $8,712 $7,848 – $9,776
Colorado 38 $61,365 $6,472 $6,256 – $6,978
Connecticut 17 $27,549 $7,597 $7,255 – $7,709
Delaware 4 $23,690 $6,805 $6,776 – $6,867
Florida 101 $67,256 $6,104 $5,345 – $6,200
Georgia 53 $49,318 $6,002 $5,081 – $6,443
Hawaii 10 $29,063 $7,569 $7,383 – $7,872
Idaho 9 $41,472 $6,264 $5,939 – $6,597
Illinois 72 $48,629 $6,482 $6,091 – $6,774
Indiana 49 $41,892 $6,184 $5,587 – $6,437
Iowa 21 $38,417 $5,889 $5,772 – $6,167
Kansas 18 $49,399 $5,987 $5,778 – $6,402
Kentucky 29 $38,258 $5,848 $5,390 – $6,332
Louisiana 44 $39,846 $5,674 $5,376 – $5,932
Maine 10 $26,652 $6,383 $5,963 – $6,720
Massachusetts 43 $28,752 $7,285 $6,915 – $7,351
Michigan 58 $34,618 $6,048 $4,965 – $6,545
Minnesota 29 $28,376 $6,661 $5,595 – $7,051
Mississippi 24 $34,796 $5,455 $4,808 – $6,035
Missouri 45 $37,484 $5,946 $5,663 – $6,524
Montana 9 $23,884 $6,469 $5,717 – $6,873
Nebraska 20 $32,819 $6,123 $5,539 – $6,316
Nevada 15 $58,222 $7,269 $6,953 – $7,330
New Hampshire 12 $31,709 $6,867 $6,562 – $6,992
New Jersey 45 $47,478 $7,333 $6,848 – $7,788
New Mexico 8 $49,186 $6,198 $5,686 – $6,655
New York 85 $44,936 $7,581 $6,705 – $7,788
North Carolina 55 $33,738 $6,101 $5,956 – $6,379
North Dakota 6 $28,727 $6,500 $6,417 – $6,872
Ohio 83 $43,256 $5,859 $4,400 – $6,416
Oklahoma 31 $48,602 $5,799 $5,549 – $6,315
Oregon 23 $28,694 $7,054 $6,593 – $7,182
Pennsylvania 88 $55,106 $6,484 $5,969 – $7,213
Rhode Island 3 $20,716 $6,811 $6,761 – $6,946
South Carolina 26 $50,934 $5,897 $5,645 – $6,518
South Dakota 14 $41,619 $6,470 $6,271 – $6,872
Tennessee 41 $46,357 $5,749 $5,502 – $6,278
Texas 133 $50,006 $6,074 $5,702 – $6,389
Utah 25 $30,843 $6,045 $5,906 – $6,566
Vermont 4 $24,689 $3,788 $3,788 – $3,788
Virginia 39 $46,006 $6,097 $5,612 – $6,731
Washington 36 $44,391 $6,909 $6,200 – $7,411
West Virginia 18 $33,586 $5,891 $5,289 – $6,401
Wisconsin 49 $43,394 $6,262 $6,007 – $6,493
Wyoming 7 – – – – –

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Mayo ClinicJacksonville, FL293$53,989$6,083
Stanford HospitalPalo Alto, CA284$154,448$9,521
Memorial Healthcare System, INCChattanooga, TN245$73,259$5,776
New York-Presbyterian HospitalNew York, NY232$31,024$7,788
Cleveland Clinic - Main CampusCleveland, OH232$39,746$5,702
University of California San Diego Medical CenterSan Diego, CA215$73,285$8,413
Mayo Clinic - Saint Marys HospitalRochester, MN214$32,376$7,051
Univ of Tx M D Anderson CtrHouston, TX205$38,496$6,208
Massachusetts Eye and Ear InfirmaryBoston, MA204$17,199$7,236
Beth Israel Deaconess Medical CenterBoston, MA201$21,662$7,351
University of California Davis Medical CenterSacramento, CA192$72,290$8,529
Naples Community HospitalNaples, FL191$45,031$6,200
Mayo Clinic HospitalPhoenix, AZ189$44,616$6,646
NYU Hospitals CenterNew York, NY188$111,761$7,675
Providence St Peter HospitalOlympia, WA187$41,193$6,891

Questions

How much does level 5 airway endoscopy cost in the U.S.?

In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 1,784 hospitals in the U.S. was billed at $48,356 on average, while the average medicare-allowed amount was $6,508, of which Medicare paid $5,183. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 5 airway endoscopy?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($8,712), Connecticut ($7,597), New York ($7,581) and lowest in Vermont ($3,788), Mississippi ($5,455), Alabama ($5,590).

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 the U.S., average charges were 7.4 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.