Level 5 Airway Endoscopy in Maine
What 10 hospitals in Maine charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.
Average charge
$26,652
Hospital list price billed
Average allowed
$6,383
Medicare's payment + patient's share
Medicare paid
$5,073
Average per service
State rank
#27 of 48
1 = lowest average payment
Hospitals in Maine billed an average of $26,652 for level 5 airway endoscopy, about 4.2 times the average medicare-allowed amount of $6,383. That payment is 2% 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 $6,383Billed $26,652
About 24¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 5 airway endoscopy
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine General Medical CenterWaterville | 30 | $17,812 | $6,720 | $5,354 |
| Mercy HospitalPortland | 19 | $36,472 | $6,161 | $4,854 |
| Maine Medical CenterPortland | 17 | $29,856 | $6,431 | $5,124 |
| Eastern Maine Medical CenterBangor | 16 | $28,159 | $5,963 | $4,751 |
| Northern Light a R Gould HospitalPresque Isle | – | – | – | – |
| Southern Maine Health CareBiddeford | – | – | – | – |
| York HospitalYork | – | – | – | – |
| Mid Coast HospitalBrunswick | – | – | – | – |
| Maine Coast Memorial HospitalEllsworth | – | – | – | – |
| Penobscot Bay Medical CenterRockport | – | – | – | – |
Lowest and highest allowed amounts in Maine
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
| Eastern Maine Medical CenterBangor, ME | $5,963 |
|---|---|
| Mercy HospitalPortland, ME | $6,161 |
| Maine Medical CenterPortland, ME | $6,431 |
| Maine General Medical CenterWaterville, ME | $6,720 |
Highest
| Maine General Medical CenterWaterville, ME | $6,720 |
|---|---|
| Maine Medical CenterPortland, ME | $6,431 |
| Mercy HospitalPortland, ME | $6,161 |
| Eastern Maine Medical CenterBangor, ME | $5,963 |
Level 5 Airway Endoscopy in other states
Questions
How much does level 5 airway endoscopy cost in Maine?
In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 10 hospitals in Maine was billed at $26,652 on average, while the average medicare-allowed amount was $6,383, of which Medicare paid $5,073. 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 Maine, average charges were 4.2 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.