facebook tracking Level 5 Airway Endoscopy cost in Iowa: 21 hospitals compared (APC 5155)

Level 5 Airway Endoscopy in Iowa

What 21 hospitals in Iowa charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.

APC 5155 Outpatient 2024 Medicare data
Average charge $38,417 Hospital list price billed
Average allowed $5,889 Medicare's payment + patient's share
Medicare paid $4,685 Average per service
State rank #9 of 48 1 = lowest average payment

Hospitals in Iowa billed an average of $38,417 for level 5 airway endoscopy, about 6.5 times the average medicare-allowed amount of $5,889. That payment is 10% below 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 $5,889Billed $38,417

About 15¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 5 airway endoscopy

Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Mercy Medical Center-Des MoinesDes Moines 113 $48,951 $5,772 $4,582
Iowa Methodist Medical CenterDes Moines 69 $32,732 $5,877 $4,683
St Lukes HospitalCedar Rapids 61 $24,759 $5,902 $4,702
Jennie Edmundson HospitalCouncil Bluffs 47 $43,749 $6,167 $4,914
The Finley HospitalDubuque 32 $29,394 $5,855 $4,665
Mercy Medical Center - Cedar RapidsCedar Rapids 28 $29,328 $5,902 $4,702
University of Iowa Hospital & ClinicsIowa City 27 $47,803 $5,928 $4,687
Broadlawns Medical CenterDes Moines 25 $41,381 $5,874 $4,680
Trinity Regional Medical CenterFort Dodge – – – –
Mary Greeley Medical CenterAmes – – – –
Genesis Medical Center-DavenportDavenport – – – –
Southeast Iowa Regional Medical CenterWest Burlington – – – –
Mercy Medical Center-North IowaMason City – – – –
Mercyone Waterloo Medical CenterWaterloo – – – –
Mercy Medical Center-DubuqueDubuque – – – –
Mercy Medical Center-ClintonClinton – – – –
Ottumwa Regional Health CenterOttumwa – – – –
Trinity Medical CenterDavenport – – – –
Allen Memorial HospitalWaterloo – – – –
Spencer Municipal HospitalSpencer – – – –
Grinnell Regional Medical CenterGrinnell – – – –
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Lowest and highest allowed amounts in Iowa

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

Mercy Medical Center-Des MoinesDes Moines, IA$5,772
The Finley HospitalDubuque, IA$5,855
Broadlawns Medical CenterDes Moines, IA$5,874
Iowa Methodist Medical CenterDes Moines, IA$5,877
St Lukes HospitalCedar Rapids, IA$5,902

Highest

Jennie Edmundson HospitalCouncil Bluffs, IA$6,167
University of Iowa Hospital & ClinicsIowa City, IA$5,928
St Lukes HospitalCedar Rapids, IA$5,902
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$5,902
Iowa Methodist Medical CenterDes Moines, IA$5,877

Level 5 Airway Endoscopy in other states

Questions

How much does level 5 airway endoscopy cost in Iowa?

In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 21 hospitals in Iowa was billed at $38,417 on average, while the average medicare-allowed amount was $5,889, of which Medicare paid $4,685. 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 Iowa, average charges were 6.5 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.