Level 5 Airway Endoscopy in Kentucky
What 29 hospitals in Kentucky charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.
Average charge
$38,258
Hospital list price billed
Average allowed
$5,848
Medicare's payment + patient's share
Medicare paid
$4,633
Average per service
State rank
#7 of 48
1 = lowest average payment
Hospitals in Kentucky billed an average of $38,258 for level 5 airway endoscopy, about 6.5 times the average medicare-allowed amount of $5,848. 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 $5,848Billed $38,258
About 15¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 5 airway endoscopy
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Elizabeth Med Center-SouthEdgewood | 122 | $44,836 | $5,716 | $4,520 |
| Norton Healthcare PavilionLouisville | 97 | $37,861 | $5,834 | $4,640 |
| Hardin Memorial HospitalElizabethtown | 89 | $45,196 | $5,791 | $4,593 |
| Baptist Hospital EastLouisville | 72 | $43,716 | $5,832 | $4,630 |
| Central Baptist HospitalLexington | 63 | $34,735 | $5,852 | $4,647 |
| University of Kentucky HospLexington | 58 | $37,060 | $5,617 | $4,411 |
| Western Baptist HospitalPaducah | 55 | $42,592 | $6,030 | $4,757 |
| The Medical Center at Bowling GreenBowling Green | 53 | $20,509 | $5,824 | $4,622 |
| Owensboro Medical Health SystemOwensboro | 39 | $20,894 | $6,203 | $4,916 |
| Baptist Health Deaconess MadisonvilleMadisonville | 26 | $52,032 | $6,332 | $5,045 |
| T J Samson Community HospitalGlasgow | 14 | $18,760 | $6,278 | $5,002 |
| King's Daughters' Medical CenterAshland | 13 | $31,870 | $5,830 | $4,645 |
| Baptist Regional Medical CtrCorbin | 13 | $31,111 | $5,390 | $4,223 |
| Lake Cumberland Regional HospitalSomerset | 13 | $40,927 | $5,922 | $4,637 |
| Jewish HospitalLouisville | 11 | $33,943 | $5,897 | $4,698 |
| St Elizabeth Ft ThomasFort Thomas | – | – | – | – |
| Saint Joseph HospitalLexington | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| Meadowview Regional Medical CenterMaysville | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Pikeville Medical CenterPikeville | – | – | – | – |
| Ephraim McDowell Regional Medical CenterDanville | – | – | – | – |
| Jennie Stuart Medical CenterHopkinsville | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Taylor Regional HospitalCampbellsville | – | – | – | – |
| Lourdes HospitalPaducah | – | – | – | – |
| Frankfort Regional Medical CenterFrankfort | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
| Saint Joseph EastLexington | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Baptist Regional Medical CtrCorbin, KY | $5,390 |
|---|---|
| University of Kentucky HospLexington, KY | $5,617 |
| St Elizabeth Med Center-SouthEdgewood, KY | $5,716 |
| Hardin Memorial HospitalElizabethtown, KY | $5,791 |
| The Medical Center at Bowling GreenBowling Green, KY | $5,824 |
Highest
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $6,332 |
|---|---|
| T J Samson Community HospitalGlasgow, KY | $6,278 |
| Owensboro Medical Health SystemOwensboro, KY | $6,203 |
| Western Baptist HospitalPaducah, KY | $6,030 |
| Lake Cumberland Regional HospitalSomerset, KY | $5,922 |
Level 5 Airway Endoscopy in other states
Questions
How much does level 5 airway endoscopy cost in Kentucky?
In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 29 hospitals in Kentucky was billed at $38,258 on average, while the average medicare-allowed amount was $5,848, of which Medicare paid $4,633. 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 Kentucky, 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.