31622

Diagnostic exam of lung airway using an endoscope

Medicare pricing data for 9,798 providers across 50 states

🤖AI Overview

This procedure has a 6.5x markup — hospitals charge $775.24 but Medicare allows only $118.54. Uninsured patients may face bills 6.5 times higher than what insurance negotiates. Prices vary significantly by location — from $89 in New Hampshire to $206 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Diagnostic exam of lung airway using an endoscope (HCPCS code 31622) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $118.54, but hospitals typically charge $775.24 — a 6.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $118.54, your out-of-pocket cost would be approximately $23.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$118.54
Average Hospital Charge
$775.24
Markup Ratio
6.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$775.24
Medicare Allowed$118.54
Medicare Payment$93.72

Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $93.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$206$2,4641731+73.4%
Indiana$144$1,064194703+21.4%
Maryland$131$662246577+10.3%
South Dakota$130$7442563+9.9%
New York$129$1,3296001,913+9.1%
Ohio$128$6244591,548+7.7%
California$125$8499363,600+5.6%
South Carolina$125$828136551+5.2%
Connecticut$124$862101192+4.9%
District of Columbia$124$8954792+4.2%
North Carolina$123$825272639+3.6%
Colorado$122$679161343+3.1%
Michigan$121$570335925+1.7%
Vermont$120$1,0551622+1.3%
Illinois$120$1,024333859+1.3%
Arkansas$120$47380379+1.2%
New Mexico$120$5663974+1.1%
Arizona$118$478217668-0.5%
Pennsylvania$118$6965291,455-0.5%
Mississippi$118$70174766-0.6%
Florida$118$5908553,068-0.8%
Alabama$117$629140621-1.4%
Rhode Island$116$5282139-2.1%
Massachusetts$116$7183611,159-2.2%
Iowa$116$85487219-2.5%
Texas$115$7416972,438-2.8%
Montana$115$3242663-2.9%
Minnesota$114$636224615-4.1%
Virginia$114$760221555-4.1%
Georgia$113$711274819-4.7%
Missouri$113$752235613-4.7%
Kansas$113$98377258-4.8%
Wisconsin$113$1,528166407-4.8%
Utah$113$59768139-4.9%
Louisiana$112$708115402-5.8%
Oklahoma$110$55372210-6.9%
Nevada$110$72671186-7.3%
New Jersey$110$731197895-7.6%
Idaho$109$3872373-8.1%
Delaware$106$6743092-10.3%
Kentucky$106$660171576-10.7%
Oregon$104$655107243-12.2%
North Dakota$103$83128106-12.7%
Hawaii$103$5811941-12.9%
West Virginia$101$51260163-14.8%
Washington$101$589177515-15.2%
Maine$100$42945153-15.5%
Nebraska$100$68267136-15.8%
Tennessee$99$6192181,038-16.3%
New Hampshire$89$2,39150254-24.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber