Diagnostic exam of lung airway using an endoscope
Medicare pricing data for 9,798 providers across 50 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $206 | $2,464 | 17 | 31 | +73.4% |
| Indiana | $144 | $1,064 | 194 | 703 | +21.4% |
| Maryland | $131 | $662 | 246 | 577 | +10.3% |
| South Dakota | $130 | $744 | 25 | 63 | +9.9% |
| New York | $129 | $1,329 | 600 | 1,913 | +9.1% |
| Ohio | $128 | $624 | 459 | 1,548 | +7.7% |
| California | $125 | $849 | 936 | 3,600 | +5.6% |
| South Carolina | $125 | $828 | 136 | 551 | +5.2% |
| Connecticut | $124 | $862 | 101 | 192 | +4.9% |
| District of Columbia | $124 | $895 | 47 | 92 | +4.2% |
| North Carolina | $123 | $825 | 272 | 639 | +3.6% |
| Colorado | $122 | $679 | 161 | 343 | +3.1% |
| Michigan | $121 | $570 | 335 | 925 | +1.7% |
| Vermont | $120 | $1,055 | 16 | 22 | +1.3% |
| Illinois | $120 | $1,024 | 333 | 859 | +1.3% |
| Arkansas | $120 | $473 | 80 | 379 | +1.2% |
| New Mexico | $120 | $566 | 39 | 74 | +1.1% |
| Arizona | $118 | $478 | 217 | 668 | -0.5% |
| Pennsylvania | $118 | $696 | 529 | 1,455 | -0.5% |
| Mississippi | $118 | $701 | 74 | 766 | -0.6% |
| Florida | $118 | $590 | 855 | 3,068 | -0.8% |
| Alabama | $117 | $629 | 140 | 621 | -1.4% |
| Rhode Island | $116 | $528 | 21 | 39 | -2.1% |
| Massachusetts | $116 | $718 | 361 | 1,159 | -2.2% |
| Iowa | $116 | $854 | 87 | 219 | -2.5% |
| Texas | $115 | $741 | 697 | 2,438 | -2.8% |
| Montana | $115 | $324 | 26 | 63 | -2.9% |
| Minnesota | $114 | $636 | 224 | 615 | -4.1% |
| Virginia | $114 | $760 | 221 | 555 | -4.1% |
| Georgia | $113 | $711 | 274 | 819 | -4.7% |
| Missouri | $113 | $752 | 235 | 613 | -4.7% |
| Kansas | $113 | $983 | 77 | 258 | -4.8% |
| Wisconsin | $113 | $1,528 | 166 | 407 | -4.8% |
| Utah | $113 | $597 | 68 | 139 | -4.9% |
| Louisiana | $112 | $708 | 115 | 402 | -5.8% |
| Oklahoma | $110 | $553 | 72 | 210 | -6.9% |
| Nevada | $110 | $726 | 71 | 186 | -7.3% |
| New Jersey | $110 | $731 | 197 | 895 | -7.6% |
| Idaho | $109 | $387 | 23 | 73 | -8.1% |
| Delaware | $106 | $674 | 30 | 92 | -10.3% |
| Kentucky | $106 | $660 | 171 | 576 | -10.7% |
| Oregon | $104 | $655 | 107 | 243 | -12.2% |
| North Dakota | $103 | $831 | 28 | 106 | -12.7% |
| Hawaii | $103 | $581 | 19 | 41 | -12.9% |
| West Virginia | $101 | $512 | 60 | 163 | -14.8% |
| Washington | $101 | $589 | 177 | 515 | -15.2% |
| Maine | $100 | $429 | 45 | 153 | -15.5% |
| Nebraska | $100 | $682 | 67 | 136 | -15.8% |
| Tennessee | $99 | $619 | 218 | 1,038 | -16.3% |
| New Hampshire | $89 | $2,391 | 50 | 254 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber