facebook tracking Level 5 Airway Endoscopy cost in West Virginia: 18 hospitals compared (APC 5155)

Level 5 Airway Endoscopy in West Virginia

What 18 hospitals in West Virginia charged and were paid for level 5 airway endoscopy (APC 5155), from 2024 Medicare claims.

APC 5155 Outpatient 2024 Medicare data
Average charge $33,586 Hospital list price billed
Average allowed $5,891 Medicare's payment + patient's share
Medicare paid $4,673 Average per service
State rank #10 of 48 1 = lowest average payment

Hospitals in West Virginia billed an average of $33,586 for level 5 airway endoscopy, about 5.7 times the average medicare-allowed amount of $5,891. That payment is 9% 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 $5,891Billed $33,586

About 18¢ was paid for every $1 hospitals in West Virginia billed for this service.

West Virginia hospitals: level 5 airway endoscopy

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

Hospital Services Avg charge Avg allowed Medicare paid
West Virginia University HospitalsMorgantown 51 $30,036 $5,726 $4,562
United Hospital CenterBridgeport 38 $33,020 $6,401 $5,072
Cabell-Huntington Hospital INCHuntington 22 $28,041 $5,830 $4,645
Wheeling HospitalWheeling 21 $34,046 $5,726 $4,562
Berkeley Medical CenterMartinsburg 19 $40,036 $6,021 $4,744
Camden Clark Memorial HospitalParkersburg 18 $29,773 $5,289 $4,109
Princeton Community HospitalPrinceton 14 $33,145 $6,120 $4,876
Charleston Area Medical CenterCharleston 12 $55,846 $5,802 $4,623
Greenbrier Valley Medical CenterRonceverte – – – –
St Mary's Medical CenterHuntington – – – –
Rivers HealthPoint Pleasant – – – –
Weirton Medical CenterWeirton – – – –
Mon Health Medical CenterMorgantown – – – –
Thomas Memorial HospitalSouth Charleston – – – –
Davis Memorial HospitalElkins – – – –
Saint Francis HospitalCharleston – – – –
Beckley Arh HospitalBeckley – – – –
Camc Charleston Surgical HospitalCharleston – – – –
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Lowest and highest allowed amounts in West Virginia

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

Camden Clark Memorial HospitalParkersburg, WV$5,289
West Virginia University HospitalsMorgantown, WV$5,726
Wheeling HospitalWheeling, WV$5,726
Charleston Area Medical CenterCharleston, WV$5,802
Cabell-Huntington Hospital INCHuntington, WV$5,830

Highest

United Hospital CenterBridgeport, WV$6,401
Princeton Community HospitalPrinceton, WV$6,120
Berkeley Medical CenterMartinsburg, WV$6,021
Cabell-Huntington Hospital INCHuntington, WV$5,830
Charleston Area Medical CenterCharleston, WV$5,802

Level 5 Airway Endoscopy in other states

Questions

How much does level 5 airway endoscopy cost in West Virginia?

In 2024 Medicare data, level 5 airway endoscopy (APC 5155) at 18 hospitals in West Virginia was billed at $33,586 on average, while the average medicare-allowed amount was $5,891, of which Medicare paid $4,673. 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 West Virginia, average charges were 5.7 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.