Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound
Medicare pricing data for 1,824 providers across 48 states
This procedure has a 5.3x markup — hospitals charge $347.32 but Medicare allows only $65.06. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. 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
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound (HCPCS code 31654) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.06, but hospitals typically charge $347.32 — a 5.3x 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 $65.06, your out-of-pocket cost would be approximately $13.01. 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 5.3x more than what Medicare allows for this procedure. Medicare actually pays $51.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $72 | $805 | 91 | 914 | +10.7% |
| District of Columbia | $70 | $262 | 11 | 221 | +7.4% |
| California | $69 | $358 | 106 | 1,308 | +5.3% |
| New Jersey | $68 | $364 | 36 | 303 | +5.1% |
| Massachusetts | $68 | $363 | 51 | 569 | +4.9% |
| Connecticut | $68 | $466 | 19 | 261 | +4.8% |
| Hawaii | $67 | $181 | 6 | 76 | +3.3% |
| Illinois | $67 | $403 | 84 | 1,091 | +3.1% |
| Maryland | $67 | $440 | 29 | 517 | +2.9% |
| Virginia | $67 | $295 | 39 | 424 | +2.5% |
| Pennsylvania | $66 | $317 | 106 | 1,163 | +1.1% |
| Montana | $66 | $231 | 5 | 61 | +1.0% |
| New Hampshire | $66 | $1,158 | 3 | 65 | +1.0% |
| Michigan | $65 | $255 | 57 | 412 | +0.4% |
| Delaware | $65 | $302 | 7 | 123 | +0.2% |
| Washington | $65 | $230 | 32 | 413 | +0.0% |
| Nevada | $65 | $291 | 11 | 132 | +0.0% |
| Florida | $65 | $274 | 142 | 1,752 | -0.4% |
| New Mexico | $65 | $299 | 3 | 12 | -0.5% |
| West Virginia | $65 | $236 | 20 | 72 | -0.8% |
| Arizona | $65 | $314 | 32 | 567 | -0.8% |
| Texas | $64 | $341 | 108 | 937 | -1.0% |
| Oregon | $64 | $327 | 18 | 115 | -1.0% |
| Georgia | $64 | $308 | 53 | 643 | -1.5% |
| Missouri | $64 | $253 | 50 | 529 | -1.5% |
| Ohio | $64 | $294 | 94 | 666 | -1.5% |
| Louisiana | $64 | $354 | 30 | 335 | -1.5% |
| Colorado | $64 | $256 | 25 | 275 | -1.8% |
| Vermont | $64 | $509 | 2 | 29 | -2.0% |
| Minnesota | $64 | $379 | 42 | 346 | -2.4% |
| Utah | $63 | $263 | 6 | 62 | -2.8% |
| Oklahoma | $63 | $242 | 21 | 218 | -2.9% |
| Kentucky | $63 | $190 | 60 | 464 | -3.4% |
| South Dakota | $63 | $398 | 2 | 17 | -3.5% |
| North Dakota | $63 | $430 | 4 | 19 | -3.6% |
| Alabama | $62 | $205 | 23 | 204 | -4.0% |
| North Carolina | $62 | $360 | 71 | 859 | -4.2% |
| South Carolina | $62 | $338 | 24 | 260 | -4.5% |
| Idaho | $62 | $149 | 9 | 70 | -4.8% |
| Indiana | $62 | $341 | 60 | 764 | -4.8% |
| Kansas | $62 | $258 | 19 | 156 | -5.1% |
| Tennessee | $61 | $241 | 68 | 1,136 | -5.6% |
| Iowa | $61 | $278 | 21 | 169 | -5.9% |
| Mississippi | $61 | $216 | 23 | 216 | -6.0% |
| Rhode Island | $61 | $291 | 4 | 13 | -6.7% |
| Wisconsin | $60 | $681 | 48 | 480 | -7.3% |
| Nebraska | $60 | $303 | 19 | 185 | -7.5% |
| Arkansas | $60 | $277 | 11 | 106 | -8.1% |
⚠️ 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