facebook tracking Level 5 Airway Endoscopy cost in Pennsylvania: 88 hospitals compared (APC 5155)

Level 5 Airway Endoscopy in Pennsylvania

What 88 hospitals in Pennsylvania charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.

APC 5155 Outpatient 2024 Medicare data
Average charge $55,106 Hospital list price billed
Average allowed $6,484 Medicare's payment + patient's share
Medicare paid $5,157 Average per service
State rank #32 of 48 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $55,106 for level 5 airway endoscopy, about 8.5 times the average medicare-allowed amount of $6,484. That payment is about the same as 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 $6,484Billed $55,106

About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: level 5 airway endoscopy

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

Hospital Services Avg charge Avg allowed Medicare paid
Hospital of the Univ of PaPhiladelphia 183 $69,945 $6,850 $5,458
York HospitalYork 132 $36,321 $6,442 $5,133
Thomas Jefferson University HospitalPhiladelphia 126 $55,359 $6,527 $5,201
Lehigh Valley HospitalAllentown 112 $99,604 $6,581 $5,224
Jefferson Health- NortheastPhiladelphia 85 $28,876 $6,520 $5,169
Geisinger Medical CenterDanville 82 $78,542 $6,113 $4,870
UPMC Pinnacle HospitalsHarrisburg 73 $27,687 $5,999 $4,753
Dubois Regional Medical CenterDubois 70 $35,368 $6,547 $5,215
Penn Presbyterian Medical CenterPhiladelphia 68 $77,262 $6,815 $5,413
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 62 $50,234 $6,895 $5,494
Main Line Hospital LankenauWynnewood 52 $39,423 $6,502 $5,160
St Luke's Hospital BethlehemBethlehem 48 $70,913 $6,676 $5,319
Allegheny General HospitalPittsburgh 48 $71,746 $6,113 $4,871
Lehigh Valley Hospital - Dickson CityDickson City 47 $34,346 $6,113 $4,867
Abington Memorial HospitalAbington 42 $53,699 $6,299 $4,994
Fox Chase Cancer CenterPhiladelphia 39 $54,976 $6,514 $5,162
UPMC Presbyterian ShadysidePittsburgh 38 $78,545 $6,113 $4,871
AHN Wexford HospitalWexford 37 $74,027 $5,981 $4,739
Reading Hospital and Med CtrWest Reading 35 $29,605 $5,969 $4,698
Doylestown HospitalDoylestown 33 $32,604 $6,603 $5,261
UPMC PassavantPittsburgh 29 $49,694 $6,113 $4,871
Grand View HospitalSellersville 25 $23,596 $6,603 $5,261
Hamot Medical CenterErie 24 $44,657 $6,974 $5,508
Hanover HospitalHanover 24 $31,492 $6,442 $5,133
Chambersburg HospitalChambersburg 23 $29,707 $6,829 $5,410
Milton S Hershey Medical CenterHershey 23 $105,434 $6,442 $5,133
Saint Vincent Health CenterErie 14 $40,537 $7,213 $5,747
Surgical Institute of ReadingWyomissing 14 $52,903 $6,161 $4,909
Main Line Hospital PaoliPaoli 13 $19,795 $6,603 $5,261
Robert Packer HospitalSayre 12 $48,866 $6,287 $5,009
Lancaster General HospitalLancaster 12 $26,854 $6,366 $5,072
Main Line Hospital Bryn Mawr CampusBryn Mawr 12 $25,065 $6,603 $5,261
Chester County HospitalWest Chester 12 $55,134 $6,603 $5,261
Crozer Chester Medical CenterChester 12 $36,210 $6,649 $5,298
Jefferson Regional Medical CenterClairton 12 $32,534 $6,113 $4,871
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 12 $26,579 $6,113 $4,871
Mount Nittany Medical CenterState College 12 $38,403 $6,907 $5,503
Temple University HospitalPhiladelphia 11 $105,312 $6,895 $5,494
Conemaugh Valley Memorial HospitalJohnstown 11 $36,911 $6,547 $5,216
St Clair Memorial HospitalPittsburgh 11 $99,077 $6,113 $4,871
Penn State Health Hampden Medical CenterEnola 11 $94,932 $6,133 $4,887
Geisinger-Community Medical CenterScranton – – – –
Holy Spirit HospitalCamp Hill – – – –
Evangelical Community HospitalLewisburg – – – –
Chestnut Hill HospitalPhiladelphia – – – –
UPMC MercyPittsburgh – – – –
Schuylkill Medical Center - South Jackson StreetPottsville – – – –
St Luke's Quakertown HospitalQuakertown – – – –
Heritage Valley BeaverBeaver – – – –
Heritage Valley SewickleySewickley – – – –
Somerset HospitalSomerset – – – –
Uniontown HospitalUniontown – – – –
Washington Hospital, theWashington – – – –
Williamsport Hospital & Medical CenterWilliamsport – – – –
Lewistown HospitalLewistown – – – –
Nason HospitalRoaring Spring – – – –
Altoona Regional Health SystemAltoona – – – –
West Penn HospitalPittsburgh – – – –
Northwest Medical CenterOil City – – – –
Holy Redeemer Hosp and Med CtrJenkintown – – – –
UPMC MemorialYork – – – –
UPMC St MargaretPittsburgh – – – –
Meadville Medical CenterMeadville – – – –
Magee Womens Hospital of UPMC Health SystemPittsburgh – – – –
UPMC BedfordEverett – – – –
Wayne Memorial HospitalHonesdale – – – –
Wilkes-Barre General HospitalWilkes-Barre – – – –
Albert Einstein Medical CenterPhiladelphia – – – –
Excela Health Westmoreland Regional HospitalGreensburg – – – –
Mercy Health SystemConshohocken – – – –
ACMH HospitalKittanning – – – –
Butler Health SystemButler – – – –
Indiana Regional Medical CenterIndiana – – – –
UPMC HorizonGreenville – – – –
Highlands HospitalConnellsville – – – –
Hazleton General HospitalHazleton – – – –
Punxsutawney Area HospitalPunxsutawney – – – –
Pocono Medical CenterEast Stroudsburg – – – –
Nazareth HospitalPhiladelphia – – – –
Latrobe Area HospitalLatrobe – – – –
Riddle Memorial HospitalMedia – – – –
Ephrata Community HospitalEphrata – – – –
Geisinger Wyoming Vly Med CtrWilkes-Barre – – – –
Physicians Care Surgical HospitalRoyersford – – – –
St Luke's Hospital - Anderson CampusEaston – – – –
Jefferson Einstein Montgomery HospitalEast Norriton – – – –
St Luke's Hospital - Monroe CampusStroudsburg – – – –
Geisinger St. Luke's HospitalOrwigsburg – – – –
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Lowest and highest allowed amounts in Pennsylvania

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

Reading Hospital and Med CtrWest Reading, PA$5,969
AHN Wexford HospitalWexford, PA$5,981
UPMC Pinnacle HospitalsHarrisburg, PA$5,999
Geisinger Medical CenterDanville, PA$6,113
Allegheny General HospitalPittsburgh, PA$6,113

Highest

Level 5 Airway Endoscopy in other states

Questions

How much does level 5 airway endoscopy cost in Pennsylvania?

In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 88 hospitals in Pennsylvania was billed at $55,106 on average, while the average medicare-allowed amount was $6,484, of which Medicare paid $5,157. 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 Pennsylvania, average charges were 8.5 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.