Level 5 Airway Endoscopy in Hawaii
What 10 hospitals in Hawaii charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.
Average charge
$29,063
Hospital list price billed
Average allowed
$7,569
Medicare's payment + patient's share
Medicare paid
$5,963
Average per service
State rank
#45 of 48
1 = lowest average payment
Hospitals in Hawaii billed an average of $29,063 for level 5 airway endoscopy, about 3.8 times the average medicare-allowed amount of $7,569. That payment is 16% above the U.S. average 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.
Paid $7,569Billed $29,063
About 26¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 5 airway endoscopy
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 43 | $33,308 | $7,494 | $5,893 |
| Straub Clinic and HospitalHonolulu | 25 | $33,347 | $7,621 | $6,021 |
| Pali Momi Medical CenterAiea | 19 | $23,135 | $7,545 | $5,942 |
| Castle Medical CenterKailua | 16 | $27,429 | $7,872 | $6,258 |
| Hilo Medical CenterHilo | 13 | $17,460 | $7,383 | $5,751 |
| Maui Memorial Medical CenterWailuku | – | – | – | – |
| Kuakini Medical CenterHonolulu | – | – | – | – |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Wilcox Memorial HospitalLihue | – | – | – | – |
| Kapiolani Med Ctr for WomenHonolulu | – | – | – | – |
Lowest and highest allowed amounts in Hawaii
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
| Hilo Medical CenterHilo, HI | $7,383 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $7,494 |
| Pali Momi Medical CenterAiea, HI | $7,545 |
| Straub Clinic and HospitalHonolulu, HI | $7,621 |
| Castle Medical CenterKailua, HI | $7,872 |
Highest
| Castle Medical CenterKailua, HI | $7,872 |
|---|---|
| Straub Clinic and HospitalHonolulu, HI | $7,621 |
| Pali Momi Medical CenterAiea, HI | $7,545 |
| The Queens Medical CenterHonolulu, HI | $7,494 |
| Hilo Medical CenterHilo, HI | $7,383 |
Level 5 Airway Endoscopy in other states
Questions
How much does level 5 airway endoscopy cost in Hawaii?
In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 10 hospitals in Hawaii was billed at $29,063 on average, while the average medicare-allowed amount was $7,569, of which Medicare paid $5,963. 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 Hawaii, average charges were 3.8 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.