Aspiration of initial secretion of lung airway using an endoscope
Medicare pricing data for 7,384 providers across 50 states
This procedure has a 7.1x markup — hospitals charge $763.20 but Medicare allows only $107.17. Uninsured patients may face bills 7.1 times higher than what insurance negotiates. Prices vary significantly by location — from $51 in Vermont to $140 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
Aspiration of initial secretion of lung airway using an endoscope (HCPCS code 31645) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $107.17, but hospitals typically charge $763.20 — a 7.1x 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 $107.17, your out-of-pocket cost would be approximately $21.43. 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 7.1x more than what Medicare allows for this procedure. Medicare actually pays $85.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $140 | $1,782 | 15 | 110 | +30.4% |
| Oregon | $134 | $653 | 92 | 255 | +25.0% |
| Mississippi | $132 | $670 | 49 | 638 | +23.3% |
| Rhode Island | $129 | $703 | 20 | 69 | +20.5% |
| New Jersey | $129 | $795 | 143 | 579 | +20.1% |
| Maine | $129 | $524 | 19 | 29 | +20.0% |
| Montana | $128 | $577 | 32 | 96 | +19.8% |
| Nevada | $126 | $560 | 67 | 419 | +17.7% |
| South Dakota | $125 | $528 | 18 | 51 | +16.9% |
| Idaho | $125 | $414 | 19 | 48 | +16.2% |
| District of Columbia | $124 | $722 | 33 | 84 | +15.3% |
| Colorado | $120 | $449 | 151 | 538 | +11.8% |
| Arkansas | $120 | $460 | 81 | 773 | +11.6% |
| Kentucky | $118 | $444 | 145 | 1,372 | +10.2% |
| Oklahoma | $118 | $502 | 74 | 343 | +10.0% |
| Hawaii | $118 | $657 | 19 | 40 | +10.0% |
| Nebraska | $117 | $648 | 71 | 338 | +9.5% |
| Pennsylvania | $114 | $680 | 524 | 1,895 | +6.2% |
| Alabama | $113 | $716 | 132 | 576 | +5.8% |
| New York | $113 | $1,430 | 407 | 2,155 | +5.6% |
| Florida | $113 | $569 | 625 | 3,579 | +5.4% |
| South Carolina | $112 | $732 | 128 | 708 | +4.4% |
| North Dakota | $111 | $846 | 13 | 50 | +4.0% |
| Michigan | $111 | $564 | 206 | 701 | +3.6% |
| Missouri | $110 | $675 | 188 | 856 | +2.8% |
| Ohio | $110 | $469 | 288 | 1,268 | +2.7% |
| Connecticut | $110 | $850 | 90 | 319 | +2.6% |
| Texas | $107 | $740 | 467 | 2,161 | +0.2% |
| West Virginia | $107 | $556 | 39 | 76 | +0.0% |
| New Hampshire | $105 | $1,390 | 38 | 206 | -1.8% |
| California | $105 | $943 | 665 | 4,985 | -1.9% |
| North Carolina | $105 | $791 | 236 | 764 | -2.5% |
| Indiana | $103 | $726 | 176 | 838 | -3.9% |
| Georgia | $103 | $763 | 272 | 2,364 | -4.0% |
| Utah | $102 | $652 | 36 | 93 | -4.5% |
| Tennessee | $102 | $616 | 176 | 708 | -4.9% |
| Illinois | $101 | $949 | 274 | 1,854 | -5.4% |
| Minnesota | $100 | $708 | 134 | 666 | -6.4% |
| Virginia | $100 | $678 | 198 | 752 | -6.9% |
| Louisiana | $100 | $657 | 76 | 260 | -6.9% |
| Iowa | $99 | $744 | 62 | 394 | -7.6% |
| Kansas | $94 | $495 | 58 | 288 | -12.3% |
| New Mexico | $93 | $625 | 17 | 49 | -12.9% |
| Arizona | $91 | $464 | 159 | 951 | -14.7% |
| Maryland | $87 | $822 | 115 | 672 | -18.7% |
| Massachusetts | $87 | $765 | 260 | 1,711 | -18.9% |
| Wisconsin | $87 | $1,646 | 122 | 522 | -19.1% |
| Washington | $78 | $584 | 106 | 700 | -27.4% |
| Delaware | $53 | $1,159 | 8 | 86 | -50.3% |
| Vermont | $51 | $915 | 4 | 16 | -52.6% |
⚠️ 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