Level 5 Airway Endoscopy in Massachusetts
What 43 hospitals in Massachusetts charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.
Average charge
$28,752
Hospital list price billed
Average allowed
$7,285
Medicare's payment + patient's share
Medicare paid
$5,791
Average per service
State rank
#43 of 48
1 = lowest average payment
Hospitals in Massachusetts billed an average of $28,752 for level 5 airway endoscopy, about 3.9 times the average medicare-allowed amount of $7,285. That payment is 12% 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 $7,285Billed $28,752
About 25¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 5 airway endoscopy
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Massachusetts
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
| Carney HospitalDorchester, MA | $6,915 |
|---|---|
| Newton-Wellesley HospitalNewton Lower Falls, MA | $7,096 |
| Massachusetts General HospitalBoston, MA | $7,190 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | $7,236 |
| Umass Memorial Medical Center INCWorcester, MA | $7,266 |
Highest
| Boston Medical Center-BrightonBrighton, MA | $7,351 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $7,351 |
| Healthalliance Hospitals, INCLeominster, MA | $7,350 |
| Cape Cod HospitalHyannis, MA | $7,350 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $7,350 |
Level 5 Airway Endoscopy in other states
Questions
How much does level 5 airway endoscopy cost in Massachusetts?
In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 43 hospitals in Massachusetts was billed at $28,752 on average, while the average medicare-allowed amount was $7,285, of which Medicare paid $5,791. 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 Massachusetts, average charges were 3.9 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.