Outpatient / APC 5153
APC 5153 · 912 hospitals · 43,789 services
Level 3 Airway Endoscopy
Hospital outpatient departments billed Medicare for 43,789 services in APC 5153 in 2024. They charged an average of $12,727; Medicare allowed $1,595 — a ratio of 8 to 1 — and paid $1,265 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $598 to $89,785 across hospitals.
- 1Average charge $12,727
- 2Medicare allowed $1,595
- 3Reporting hospitals 912
- 4Services 43,789
By state
The average charge for this service was highest in Nevada ($27,503) and lowest in Idaho ($4,836). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 183 | $27,503 | $1,779 |
| Florida | 3,399 | $19,034 | $1,513 |
| Texas | 2,581 | $18,967 | $1,505 |
| California | 4,547 | $17,053 | $2,135 |
| Alaska | 34 | $17,047 | $1,803 |
| Colorado | 556 | $16,436 | $1,610 |
| Oklahoma | 568 | $15,602 | $1,426 |
| Georgia | 1,244 | $14,258 | $1,473 |
| Pennsylvania | 2,213 | $14,117 | $1,592 |
| Indiana | 900 | $14,057 | $1,526 |
| Kentucky | 673 | $13,992 | $1,456 |
| New York | 1,442 | $13,608 | $1,856 |
| District of Columbia | 91 | $13,590 | $1,727 |
| New Jersey | 741 | $13,577 | $1,818 |
| New Mexico | 189 | $13,279 | $1,552 |
| Louisiana | 907 | $12,672 | $1,382 |
| South Carolina | 1,321 | $12,115 | $1,444 |
| Alabama | 989 | $11,860 | $1,398 |
| Illinois | 1,696 | $11,679 | $1,571 |
| Tennessee | 908 | $11,556 | $1,335 |
| Missouri | 923 | $11,375 | $1,482 |
| Arizona | 1,145 | $11,131 | $1,348 |
| South Dakota | 284 | $10,546 | $1,600 |
| West Virginia | 447 | $10,481 | $1,423 |
| Virginia | 1,305 | $10,461 | $1,490 |
| North Carolina | 1,297 | $10,364 | $1,512 |
| Mississippi | 933 | $10,192 | $1,366 |
| Hawaii | 109 | $9,885 | $1,965 |
| Ohio | 1,893 | $9,855 | $1,391 |
| Wisconsin | 811 | $9,592 | $1,565 |
| Arkansas | 499 | $9,561 | $1,448 |
| Connecticut | 210 | $9,092 | $1,886 |
| Kansas | 738 | $8,920 | $1,382 |
| Minnesota | 675 | $8,810 | $1,641 |
| Nebraska | 433 | $8,572 | $1,304 |
| Wyoming | 38 | $8,550 | $1,664 |
| Delaware | 140 | $8,469 | $1,695 |
| Oregon | 449 | $8,399 | $1,821 |
| Michigan | 1,154 | $8,326 | $1,502 |
| Utah | 349 | $8,181 | $1,501 |
| Washington | 970 | $8,157 | $1,718 |
| New Hampshire | 304 | $7,653 | $1,548 |
| Iowa | 486 | $7,184 | $1,519 |
| Massachusetts | 1,881 | $6,734 | $1,813 |
| Rhode Island | 80 | $6,707 | $1,722 |
| Maine | 186 | $6,705 | $1,543 |
| North Dakota | 248 | $5,768 | $1,606 |
| Montana | 218 | $5,469 | $1,541 |
| Vermont | 151 | $5,262 | $745 |
| Idaho | 251 | $4,836 | $1,496 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| CHRISTUS Santa Rosa Medical Center San Antonio, TX | $89,785 | $1,473 |
| Grandview Medical Center Birmingham, AL | $63,360 | $1,363 |
| UPMC Presbyterian Shadyside Pittsburgh, PA | $60,841 | $1,503 |
| HCA Florida Orange Park Hospital Orange Park, FL | $59,258 | $1,537 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $58,677 | $1,514 |
| Cedars-Sinai Medical Center Los Angeles, CA | $58,611 | $2,039 |
| Ascension Seton Medical Center Austin Austin, TX | $55,870 | $1,494 |
| Piedmont Medical Center Rock Hill, SC | $55,718 | $1,390 |
| Mercy Gilbert Medical Center Gilbert, AZ | $53,218 | $1,655 |
| Westchester Medical Center Valhalla, NY | $50,530 | $1,874 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Memorial Hospital Logansport, IN | $598 | $1,621 |
| Ridgeview Medical Center Waconia, MN | $1,393 | $1,622 |
| Range Regional Health Services Hibbing, MN | $1,398 | $1,580 |
| Mountain View Hospital Idaho Falls, ID | $1,552 | $1,236 |
| Banner - University Medical Center Tucson Campus Tucson, AZ | $1,733 | $778 |
| United Health Services Hospitals, Inc Binghamton, NY | $1,931 | $1,800 |
| Albany Medical Center Hospital Albany, NY | $1,968 | $1,789 |
| Saint Alphonsus Medical Center - Nampa Nampa, ID | $2,272 | $1,643 |
| Knox Community Hospital Mount Vernon, OH | $2,274 | $1,573 |
| Beloit Memorial Hospital Beloit, WI | $2,438 | $1,651 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.