Level 5 Airway Endoscopy in New Mexico
What 8 hospitals in New Mexico charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.
Average charge
$49,186
Hospital list price billed
Average allowed
$6,198
Medicare's payment + patient's share
Medicare paid
$4,911
Average per service
State rank
#24 of 48
1 = lowest average payment
Hospitals in New Mexico billed an average of $49,186 for level 5 airway endoscopy, about 7.9 times the average medicare-allowed amount of $6,198. That payment is 5% 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 $6,198Billed $49,186
About 13¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 5 airway endoscopy
Every New Mexico 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 Vincent HospitalSanta Fe | 40 | $45,583 | $6,655 | $5,246 |
| UNM HospitalAlbuquerque | 35 | $23,934 | $6,058 | $4,821 |
| Lovelace Women's HospitalAlbuquerque | 14 | $100,338 | $6,058 | $4,826 |
| Memorial Medical Center INCLas Cruces | 13 | $58,123 | $5,960 | $4,749 |
| Lovelace Westside HospitalAlbuquerque | 13 | $52,311 | $5,686 | $4,455 |
| Lovelace Medical CenterAlbuquerque | 12 | $62,107 | $6,058 | $4,826 |
| San Juan Regional Medical CenterFarmington | – | – | – | – |
| Presbyterian HospitalAlbuquerque | – | – | – | – |
Lowest and highest allowed amounts in New Mexico
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
| Lovelace Westside HospitalAlbuquerque, NM | $5,686 |
|---|---|
| Memorial Medical Center INCLas Cruces, NM | $5,960 |
| Lovelace Medical CenterAlbuquerque, NM | $6,058 |
| Lovelace Women's HospitalAlbuquerque, NM | $6,058 |
| UNM HospitalAlbuquerque, NM | $6,058 |
Highest
| St Vincent HospitalSanta Fe, NM | $6,655 |
|---|---|
| UNM HospitalAlbuquerque, NM | $6,058 |
| Lovelace Medical CenterAlbuquerque, NM | $6,058 |
| Lovelace Women's HospitalAlbuquerque, NM | $6,058 |
| Memorial Medical Center INCLas Cruces, NM | $5,960 |
Level 5 Airway Endoscopy in other states
Questions
How much does level 5 airway endoscopy cost in New Mexico?
In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 8 hospitals in New Mexico was billed at $49,186 on average, while the average medicare-allowed amount was $6,198, of which Medicare paid $4,911. 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 New Mexico, average charges were 7.9 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.