Outpatient / APC 5155
APC 5155 · 775 hospitals · 38,424 services
Level 5 Airway Endoscopy
Hospital outpatient departments billed Medicare for 38,424 services in APC 5155 in 2024. They charged an average of $47,790; Medicare allowed $6,501 — a ratio of 7.4 to 1 — and paid $5,176 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $12,215 to $213,210 across hospitals.
- 1Average charge $47,790
- 2Medicare allowed $6,501
- 3Reporting hospitals 775
- 4Services 38,424
By state
The average charge for this service was highest in California ($78,915) and lowest in Rhode Island ($20,057). 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 |
|---|---|---|---|
| California | 3,330 | $78,915 | $8,675 |
| Florida | 2,991 | $67,764 | $6,100 |
| Nevada | 194 | $61,743 | $7,288 |
| Alabama | 482 | $60,879 | $5,566 |
| Colorado | 500 | $58,317 | $6,497 |
| Pennsylvania | 1,942 | $54,251 | $6,448 |
| South Carolina | 770 | $50,750 | $5,898 |
| Texas | 2,618 | $50,137 | $6,062 |
| Kansas | 599 | $49,552 | $5,990 |
| New Jersey | 579 | $49,165 | $7,330 |
| District of Columbia | 249 | $49,010 | $6,980 |
| Georgia | 1,240 | $48,842 | $6,006 |
| Illinois | 1,821 | $48,042 | $6,470 |
| Oklahoma | 696 | $47,526 | $5,775 |
| New Mexico | 141 | $47,075 | $6,164 |
| Tennessee | 1,573 | $46,956 | $5,740 |
| Virginia | 740 | $46,020 | $6,090 |
| Arizona | 826 | $45,775 | $6,659 |
| Washington | 913 | $44,321 | $6,917 |
| Alaska | 72 | $42,845 | $6,829 |
| New York | 1,705 | $42,617 | $7,534 |
| Ohio | 1,582 | $42,478 | $5,832 |
| Wisconsin | 808 | $42,393 | $6,249 |
| Idaho | 192 | $42,244 | $6,272 |
| Indiana | 888 | $41,586 | $6,166 |
| Louisiana | 662 | $40,128 | $5,682 |
| South Dakota | 302 | $39,961 | $6,476 |
| Mississippi | 545 | $37,569 | $5,476 |
| Kentucky | 796 | $37,363 | $5,854 |
| Missouri | 911 | $37,263 | $5,954 |
| Iowa | 470 | $36,951 | $5,912 |
| North Carolina | 1,379 | $33,834 | $6,105 |
| Michigan | 870 | $33,742 | $6,016 |
| New Hampshire | 240 | $33,664 | $6,813 |
| Nebraska | 420 | $32,683 | $6,143 |
| West Virginia | 227 | $32,382 | $5,863 |
| Utah | 287 | $30,410 | $6,066 |
| Oregon | 281 | $29,169 | $7,121 |
| Hawaii | 127 | $28,702 | $7,571 |
| North Dakota | 160 | $28,480 | $6,514 |
| Connecticut | 362 | $28,167 | $7,595 |
| Minnesota | 709 | $28,055 | $6,645 |
| Massachusetts | 1,192 | $27,729 | $7,295 |
| Maine | 100 | $26,388 | $6,335 |
| Montana | 201 | $24,318 | $6,480 |
| Delaware | 272 | $24,135 | $6,807 |
| Vermont | 71 | $23,369 | $3,620 |
| Arkansas | 319 | $22,887 | $5,881 |
| Wyoming | 23 | $22,407 | $6,861 |
| Rhode Island | 47 | $20,057 | $6,828 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Good Samaritan Hospital San Jose, CA | $213,210 | $9,631 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $212,768 | $6,092 |
| HCA Healthone Sky Ridge Lone Tree, CO | $192,702 | $6,515 |
| HCA Florida Citrus Hospital Inverness, FL | $174,248 | $6,200 |
| Cedars-Sinai Medical Center Los Angeles, CA | $169,822 | $8,368 |
| HCA Healthone Aurora Aurora, CO | $167,371 | $6,403 |
| Cjw Medical Center Richmond, VA | $155,647 | $5,821 |
| Stanford Health Care Stanford, CA | $154,448 | $9,521 |
| HCA Florida West Hospital Pensacola, FL | $153,689 | $6,200 |
| HCA Florida Orange Park Hospital Orange Park, FL | $142,343 | $6,200 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Northeastern Health System Tahlequah, OK | $12,215 | $5,843 |
| Mymichigan Medical Center Midland Midland, MI | $12,268 | $6,427 |
| Mercy Hospital Fort Smith Fort Smith, AR | $12,753 | $5,821 |
| Lakeview Memorial Hospital Stillwater, MN | $13,473 | $5,595 |
| St Elizabeth's Medical Center Brighton, MA | $14,033 | $7,351 |
| Thomas Hospital Fairhope, AL | $14,307 | $5,300 |
| Baylor Scott & White Medical Center - Hillcrest Waco, TX | $14,364 | $6,162 |
| Lowell General Hospital Lowell, MA | $14,472 | $7,350 |
| Inova Fairfax Hospital Falls Church, VA | $14,586 | $6,333 |
| Bronson Methodist Hospital Kalamazoo, MI | $14,618 | $4,965 |
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.