facebook tracking Level 5 Airway Endoscopy cost in Washington: 36 hospitals compared (APC 5155)

Level 5 Airway Endoscopy in Washington

What 36 hospitals in Washington charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.

APC 5155 Outpatient 2024 Medicare data
Average charge $44,391 Hospital list price billed
Average allowed $6,909 Medicare's payment + patient's share
Medicare paid $5,490 Average per service
State rank #39 of 48 1 = lowest average payment

Hospitals in Washington billed an average of $44,391 for level 5 airway endoscopy, about 6.4 times the average medicare-allowed amount of $6,909. That payment is 6% 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 $6,909Billed $44,391

About 16¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 5 airway endoscopy

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

Hospital Services Avg charge Avg allowed Medicare paid
Providence St Peter HospitalOlympia 187 $41,193 $6,891 $5,483
Virginia Mason Medical CenterSeattle 149 $66,968 $6,745 $5,351
Providence Sacred Heart Medical CenterSpokane 82 $28,633 $6,869 $5,473
Tacoma General HospitalTacoma 59 $50,666 $6,861 $5,426
University of Washington Medical CtrSeattle 58 $41,672 $6,869 $5,473
Skagit Valley HospitalMt Vernon 54 $33,946 $6,820 $5,411
S W Washington Medical CenterVancouver 43 $41,557 $7,181 $5,722
St Joseph Medical CenterTacoma 29 $67,982 $7,052 $5,618
Confluence Health HospitalWenatchee 27 $31,365 $7,411 $5,905
Evergreenhealth Medical CenterKirkland 26 $30,358 $6,776 $5,355
Peacehealth St Joseph Medical CenterBellingham 23 $22,762 $7,357 $5,862
Deaconess Medical CenterSpokane 23 $58,536 $6,869 $5,473
Swedish Medical CenterSeattle 17 $38,491 $7,334 $5,843
Legacy Salmon Creek Medical CenterVancouver 17 $25,885 $7,182 $5,715
Kadlec Regional Medical CenterRichland 16 $30,033 $6,200 $4,804
Providence St Mary Medical CenterWalla Walla 11 $30,655 $7,357 $5,862
Island HospitalAnacortes – – – –
Highline Medical CenterBurien – – – –
Providence Regional Medical Center EverettEverett – – – –
Auburn Regional Medical CenterAuburn – – – –
St Clare HospitalLakewood – – – –
Swedish Edmonds HospitalEdmonds – – – –
Samaritan HospitalMoses Lake – – – –
Yakima Valley Memorial HospitalYakima – – – –
St Michael Medical CenterBremerton – – – –
Peachealth St John Medical CenterLongview – – – –
Overlake Hospital Medical CenterBellevue – – – –
Cascade Valley HospitalArlington – – – –
Harborview Medical CenterSeattle – – – –
Good Samaritan Hospital & Rehab CenterPuyallup – – – –
Valley Medical CenterRenton – – – –
Capital Medical CenterOlympia – – – –
St Francis Community HospitalFederal Way – – – –
St Anthony HospitalGig Harbor – – – –
Swedish IssaquahIssaquah – – – –
Multicare Covington Medical CenterCovington – – – –
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Lowest and highest allowed amounts in Washington

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

Kadlec Regional Medical CenterRichland, WA$6,200
Virginia Mason Medical CenterSeattle, WA$6,745
Evergreenhealth Medical CenterKirkland, WA$6,776
Skagit Valley HospitalMt Vernon, WA$6,820
Tacoma General HospitalTacoma, WA$6,861

Highest

Level 5 Airway Endoscopy in other states

Questions

How much does level 5 airway endoscopy cost in Washington?

In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 36 hospitals in Washington was billed at $44,391 on average, while the average medicare-allowed amount was $6,909, of which Medicare paid $5,490. 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 Washington, average charges were 6.4 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.