Outpatient / APC 5154
APC 5154 · 1,084 hospitals · 59,708 services
Level 4 Airway Endoscopy
Hospital outpatient departments billed Medicare for 59,708 services in APC 5154 in 2024. They charged an average of $27,529; Medicare allowed $3,567 — a ratio of 7.7 to 1 — and paid $2,831 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $6,744 to $156,149 across hospitals.
- 1Average charge $27,529
- 2Medicare allowed $3,567
- 3Reporting hospitals 1,084
- 4Services 59,708
By state
The average charge for this service was highest in Nevada ($44,765) and lowest in Wyoming ($12,937). 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 | 265 | $44,765 | $3,924 |
| California | 4,539 | $44,289 | $4,770 |
| Florida | 4,207 | $37,940 | $3,347 |
| Pennsylvania | 3,122 | $35,278 | $3,525 |
| Alaska | 74 | $33,400 | $3,823 |
| Texas | 3,954 | $31,323 | $3,328 |
| Illinois | 2,699 | $30,361 | $3,535 |
| New Jersey | 1,249 | $30,290 | $3,994 |
| Indiana | 1,647 | $29,876 | $3,378 |
| South Carolina | 1,210 | $29,765 | $3,210 |
| Oklahoma | 833 | $29,431 | $3,188 |
| Arizona | 1,764 | $28,728 | $3,631 |
| Georgia | 1,558 | $28,647 | $3,340 |
| Tennessee | 1,466 | $28,349 | $3,112 |
| Alabama | 706 | $28,247 | $3,044 |
| New York | 3,428 | $27,613 | $4,132 |
| District of Columbia | 260 | $25,411 | $3,786 |
| Colorado | 997 | $25,292 | $3,573 |
| New Mexico | 191 | $24,927 | $3,429 |
| Virginia | 1,664 | $23,821 | $3,343 |
| Wisconsin | 1,178 | $23,656 | $3,442 |
| Ohio | 2,797 | $23,353 | $3,173 |
| Kentucky | 1,119 | $22,603 | $3,187 |
| Kansas | 880 | $22,299 | $3,294 |
| New Hampshire | 328 | $22,051 | $3,704 |
| West Virginia | 403 | $21,783 | $3,138 |
| Louisiana | 856 | $21,147 | $3,095 |
| South Dakota | 408 | $20,927 | $3,562 |
| Missouri | 1,573 | $20,790 | $3,266 |
| North Carolina | 2,169 | $20,783 | $3,311 |
| Washington | 1,170 | $20,584 | $3,799 |
| Nebraska | 586 | $20,440 | $3,346 |
| Hawaii | 158 | $20,032 | $4,232 |
| Connecticut | 546 | $19,600 | $4,134 |
| Maine | 251 | $19,100 | $3,415 |
| Iowa | 722 | $18,690 | $3,269 |
| Michigan | 1,669 | $18,160 | $3,307 |
| Oregon | 537 | $18,079 | $3,965 |
| Massachusetts | 2,041 | $18,002 | $3,990 |
| Minnesota | 1,223 | $17,885 | $3,672 |
| Mississippi | 704 | $17,701 | $3,093 |
| Utah | 461 | $17,679 | $3,313 |
| Montana | 284 | $16,365 | $3,587 |
| Idaho | 242 | $16,043 | $3,444 |
| North Dakota | 238 | $15,842 | $3,506 |
| Delaware | 220 | $15,282 | $3,719 |
| Vermont | 124 | $14,907 | $2,019 |
| Arkansas | 809 | $14,325 | $3,212 |
| Rhode Island | 136 | $14,078 | $3,757 |
| Wyoming | 43 | $12,937 | $3,751 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Adventist Health St Helena Saint Helena, CA | $156,149 | $4,806 |
| Capital Health Medical Center - Hopewell Pennington, NJ | $143,985 | $3,764 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $140,967 | $3,327 |
| Good Samaritan Hospital San Jose, CA | $139,660 | $5,273 |
| MUSC Health Florence Medical Center Florence, SC | $124,518 | $3,207 |
| HCA Healthone Sky Ridge Lone Tree, CO | $120,222 | $3,565 |
| Grandview Medical Center Birmingham, AL | $116,946 | $2,941 |
| San Ramon Regional Medical Center San Ramon, CA | $110,834 | $5,214 |
| HCA Florida Citrus Hospital Inverness, FL | $104,550 | $3,392 |
| HCA Florida Trinity Hospital Trinity, FL | $101,298 | $3,392 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Campbell County Memorial Hospital Gillette, WY | $6,744 | $3,760 |
| Oklahoma Heart Hospital, LLC Oklahoma City, OK | $7,045 | $3,227 |
| Southwest Ms Regional Medical Center Mccomb, MS | $7,304 | $3,058 |
| South Shore Hospital South Weymouth, MA | $7,305 | $4,022 |
| Mount Auburn Hospital Cambridge, MA | $7,559 | $4,022 |
| West Tennessee Healthcare Henry County Hospital Paris, TN | $7,624 | $3,088 |
| St Patrick Hospital Missoula, MT | $7,828 | $3,511 |
| Massachusetts Eye and Ear Infirmary - Boston, MA | $8,199 | $3,978 |
| Uams Medical Center Little Rock, AR | $8,381 | $3,210 |
| Bronson Methodist Hospital Kalamazoo, MI | $8,411 | $3,223 |
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.