Outpatient procedure · APC 5154 · Surgery or procedure

Level 4 Airway Endoscopy

In 2024, Medicare and patients paid an average of $3,568 per procedure at 1,084 hospitals. Half of hospitals averaged between $3,253 and $3,660.

Also known as: Bronchoscopy

National figures, 2024

Average payment per case: $3,568
Typical range (middle half of hospitals): $3,253–$3,660
Medicare’s share: $2,83379% of the payment
Average billed charge: $27,795
Hospitals reporting: 1,08455,908 procedures

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1,075 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 4 Airway Endoscopy by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
MetroHealth SystemCleveland, OH · CCN 360059	23	$1,646	54% below the national average	$997	$19,376
Marietta Memorial HospitalMarietta, OH · CCN 360147	44	$1,859	48% below the national average	$1,212	$23,072
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	11	$1,954	45% below the national average	$1,529	$20,053
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	85	$1,982	44% below the national average	$1,240	$14,928
Rutland Regional Medical CenterRutland, VT · CCN 470005	19	$2,262	37% below the national average	$1,524	$17,446
Memorial Hospital At GulfportGulfport, MS · CCN 250019	34	$2,336	35% below the national average	$1,825	$19,413
Palomar Health Downtown CampusEscondido, CA · CCN 050115	20	$2,403	33% below the national average	$1,467	$46,816
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	11	$2,625	26% below the national average	$1,982	$38,617
Lafayette Surgical Specialty HospitalLafayette, LA · CCN 190259	19	$2,700	24% below the national average	$2,067	$12,898
Baptist Medical Center SouthMontgomery, AL · CCN 010023	25	$2,768	22% below the national average	$2,146	$11,230
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	11	$2,782	22% below the national average	$2,127	$14,216
Piedmont Medical CenterRock Hill, SC · CCN 420002	19	$2,831	21% below the national average	$2,147	$29,215
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	53	$2,918	18% below the national average	$2,287	$18,011
Magnolia Regional Health CenterCorinth, MS · CCN 250009	12	$2,921	18% below the national average	$2,296	$20,912
Forrest General HospitalHattiesburg, MS · CCN 250078	36	$2,923	18% below the national average	$2,301	$16,674
Aultman HospitalCanton, OH · CCN 360084	19	$2,927	18% below the national average	$2,279	$9,787
Grandview Medical CenterBirmingham, AL · CCN 010104	28	$2,941	18% below the national average	$2,308	$116,946
Delray Medical CenterDelray Beach, FL · CCN 100258	42	$2,942	18% below the national average	$2,252	$76,076
Mercy Regional Medical CenterLorain, OH · CCN 360172	20	$2,942	18% below the national average	$2,292	$20,947
St Francis HospitalMemphis, TN · CCN 440183	19	$2,943	18% below the national average	$2,300	$36,200
Bmh-Golden TriangleColumbus, MS · CCN 250100	15	$2,954	17% below the national average	$2,324	$14,881
Terrebonne General Medical Center - ParishHouma, LA · CCN 190008	14	$2,963	17% below the national average	$2,324	$19,080
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	19	$2,978	17% below the national average	$2,317	$13,957
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	46	$2,979	17% below the national average	$2,329	$23,724
Edward W Sparrow HospitalLansing, MI · CCN 230230	37	$2,991	16% below the national average	$2,328	$17,807
Iberia Medical CenterNew Iberia, LA · CCN 190054	18	$2,993	16% below the national average	$2,360	$14,099
LDS HospitalSalt Lake City, UT · CCN 460006	15	$2,998	16% below the national average	$2,316	$14,843
St. Vincent's EastBirmingham, AL · CCN 010011	20	$3,002	16% below the national average	$2,366	$15,558
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	31	$3,003	16% below the national average	$2,359	$51,788
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	16	$3,008	16% below the national average	$2,364	$17,280
Fmol Health St FrancisMonroe, LA · CCN 190125	24	$3,010	16% below the national average	$2,377	$13,741
UH Cleveland Medical CenterCleveland, OH · CCN 360137	187	$3,016	15% below the national average	$2,381	$21,283
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	18	$3,019	15% below the national average	$2,377	$10,416
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	27	$3,022	15% below the national average	$2,389	$13,489
Integris Health Enid HospitalEnid, OK · CCN 370016	16	$3,022	15% below the national average	$2,375	$40,533
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	29	$3,022	15% below the national average	$2,359	$11,261
Liberty HospitalLiberty, MO · CCN 260177	19	$3,029	15% below the national average	$2,364	$20,039
St Vincent's BirminghamBirmingham, AL · CCN 010056	18	$3,032	15% below the national average	$2,379	$17,389
Berkeley Medical CenterMartinsburg, WV · CCN 510008	11	$3,033	15% below the national average	$2,366	$22,955
University Health System, IncKnoxville, TN · CCN 440015	91	$3,037	15% below the national average	$2,409	$11,169
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	78	$3,041	15% below the national average	$2,399	$17,221
Southeast Health Medical CenterDothan, AL · CCN 010001	45	$3,042	15% below the national average	$2,387	$17,969
Crestwood Medical CenterHuntsville, AL · CCN 010131	65	$3,044	15% below the national average	$2,399	$49,938
Baptist Health CorbinCorbin, KY · CCN 180080	26	$3,045	15% below the national average	$2,407	$19,441
University Of Missouri Health CareColumbia, MO · CCN 260141	66	$3,050	15% below the national average	$2,395	$15,486
St Tammany Parish HospitalCovington, LA · CCN 190045	40	$3,051	14% below the national average	$2,401	$32,826
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	70	$3,053	14% below the national average	$2,426	$15,263
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	86	$3,056	14% below the national average	$2,423	$32,796
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	71	$3,057	14% below the national average	$2,426	$19,657
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	49	$3,058	14% below the national average	$2,406	$19,072

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 55,379 procedures at 1,127 hospitals · 2021: 58,820 procedures at 1,118 hospitals · 2022: 58,909 procedures at 1,092 hospitals · 2023: 53,928 procedures at 1,071 hospitals · 2024: 55,908 procedures at 1,084 hospitals

View data as a table

National average payment and billed charge for Level 4 Airway Endoscopy
Year of care	Average payment	Average billed charge
2020	$2,904	$21K
2021	$3,091	$23K
2022	$3,141	$25K
2023	$3,296	$25K
2024	$3,568	$28K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 4 Airway Endoscopy, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	2	104	$2,034	$2,052–$2,192
Alabama	11	578	$3,038	$2,972–$3,068
Louisiana	21	772	$3,095	$3,051–$3,166
Mississippi	14	660	$3,096	$2,980–$3,135
Tennessee	23	1,374	$3,125	$3,076–$3,209
West Virginia	10	361	$3,135	$3,051–$3,175
Ohio	49	2,622	$3,169	$3,168–$3,257
Oklahoma	16	759	$3,188	$3,151–$3,226
Kentucky	21	1,032	$3,200	$3,142–$3,426
South Carolina	22	1,164	$3,210	$3,185–$3,231
Arkansas	17	788	$3,212	$3,127–$3,299
Missouri	27	1,438	$3,258	$3,193–$3,333
Iowa	14	686	$3,269	$3,206–$3,338
Kansas	13	844	$3,302	$3,247–$3,363
Utah	6	427	$3,306	$3,186–$3,344
Michigan	41	1,578	$3,310	$3,262–$3,344
North Carolina	38	2,059	$3,316	$3,259–$3,365
Texas	70	3,636	$3,329	$3,249–$3,383
Georgia	36	1,455	$3,338	$3,215–$3,475
Nebraska	11	546	$3,340	$3,280–$3,423
Virginia	33	1,595	$3,341	$3,224–$3,453
Florida	72	3,995	$3,347	$3,385–$3,392
Indiana	37	1,561	$3,377	$3,331–$3,412
Maine	8	223	$3,416	$3,346–$3,519
Idaho	7	227	$3,444	$3,312–$3,609
New Mexico	6	187	$3,444	$3,314–$3,314
Wisconsin	22	1,057	$3,450	$3,357–$3,517
North Dakota	5	232	$3,499	$3,511–$3,511
Pennsylvania	58	2,977	$3,531	$3,345–$3,613
Illinois	50	2,571	$3,534	$3,461–$3,590
South Dakota	9	386	$3,561	$3,511–$3,760
Colorado	22	947	$3,571	$3,565–$3,565
Montana	6	276	$3,585	$3,511–$3,698
Arizona	21	1,698	$3,630	$3,622–$3,652
Minnesota	14	1,184	$3,679	$3,536–$3,580
New Hampshire	7	281	$3,716	$3,590–$3,657
Delaware	3	213	$3,718	$3,702–$3,736
Wyoming	1	16	$3,760	$3,760–$3,760
Rhode Island	2	102	$3,772	$3,773–$3,791
District of Columbia	4	257	$3,786	$3,691–$3,832
Washington	22	1,086	$3,796	$3,758–$3,858
Alaska	2	56	$3,865	$3,865–$3,865
Nevada	10	244	$3,905	$3,803–$4,011
Oregon	13	492	$3,976	$3,895–$3,929
Massachusetts	24	1,928	$3,988	$3,975–$4,022
New Jersey	28	1,180	$3,995	$3,920–$4,031
Connecticut	11	488	$4,127	$4,047–$4,198
New York	49	3,263	$4,137	$3,970–$4,195
Hawaii	3	129	$4,287	$4,290–$4,307
California	73	4,174	$4,778	$4,604–$4,931

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.