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Outpatient procedure · APC 5163 · Surgery or procedure

Level 3 ENT Procedures

In 2024, Medicare and patients paid an average of $1,397 per procedure at 177 hospitals. Half of hospitals averaged between $1,285 and $1,472.

Also known as: Ear, nose and throat surgery, sinus surgery

National figures, 2024

Average payment per case
$1,397
Typical range (middle half of hospitals)
$1,285–$1,472
Medicare’s share
$1,10679% of the payment
Average billed charge
$6,801
Hospitals reporting
1775,010 procedures

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

173 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV

Medicare payments per case for Level 3 ENT Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004739$1,305About average$1,021$4,884
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 04001617$1,307About average$1,042$4,192
Riverside Regional Medical CenterNewport News, VA · CCN 49005213$1,313About average$1,046$5,834
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 37003716$1,314About average$1,044$11,837
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003211$1,315About average$1,042$8,988
MUSC Medical CenterCharleston, SC · CCN 42000476$1,316About average$1,043$7,693
Trident Medical CenterCharleston, SC · CCN 42007921$1,316About average$1,039$42,525
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 39027018$1,317About average$1,044$16,229
Henry Ford Health HospitalDetroit, MI · CCN 23005322$1,317About average$1,040$1,554
Rochester General HospitalRochester, NY · CCN 33012511$1,323About average$1,054$7,205
Billings Clinic HospitalBillings, MT · CCN 27000433$1,326About average$1,054$1,679
Pikeville Medical CenterPikeville, KY · CCN 18004419$1,327About average$1,042$10,143
Memorial Medical CenterLas Cruces, NM · CCN 32001833$1,328About average$1,058$4,456
Duke University HospitalDurham, NC · CCN 34003029$1,328About average$1,058$10,165
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 20003317$1,329About average$1,059$8,697
Bronson Methodist HospitalKalamazoo, MI · CCN 23001724$1,334About average$1,063$4,341
Henry Ford Allegiance HealthJackson, MI · CCN 23009239$1,334About average$1,053$3,085
Lima Memorial Health SystemLima, OH · CCN 36000923$1,335About average$1,064$6,626
Milton S Hershey Medical CenterHershey, PA · CCN 39025618$1,340About average$1,063$13,303
Berkeley Medical CenterMartinsburg, WV · CCN 51000814$1,340About average$1,068$4,643
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 16005852$1,341About average$1,062$5,585
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 67003443$1,342About average$1,069$4,885
Emory University Hospital MidtownAtlanta, GA · CCN 11007818$1,353About average$1,065$11,812
Christus Good Shepherd Medical CenterLongview, TX · CCN 45003216$1,357About average$1,081$14,264
Beaumont Hospital, TroyTroy, MI · CCN 23026921$1,359About average$1,083$12,493
Ascension St Vincent EvansvilleEvansville, IN · CCN 15010024$1,359About average$1,083$14,257
Good Samaritan HospitalVincennes, IN · CCN 15004213$1,359About average$1,083$11,589
Northwest Health-La PorteLa Porte, IN · CCN 15000618$1,360About average$1,067$35,009
Henry Ford Health St John HospitalDetroit, MI · CCN 23016533$1,362About average$1,085$3,546
Geisinger Medical CenterDanville, PA · CCN 39000639$1,362About average$1,085$17,231
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 46000919$1,366About average$1,088$3,992
Northwest Community Hospital 1Arlington Heights, IL · CCN 14025226$1,367About average$1,063$4,499
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 52008724$1,377About average$1,095$3,620
Union Hospital IncTerre Haute, IN · CCN 15002320$1,377About average$1,098$7,408
Witham Health ServicesLebanon, IN · CCN 15010414$1,377About average$1,098$7,675
Penn Highlands DuboisDubois, PA · CCN 39008615$1,381About average$1,085$7,076
Lee Memorial HospitalFort Myers, FL · CCN 10001216$1,382About average$1,086$16,844
AdventHealth OrlandoOrlando, FL · CCN 10000711$1,382About average$1,083$22,885
United Hospital Center, IncBridgeport, WV · CCN 51000616$1,384About average$1,088$3,807
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 52009866$1,389About average$1,097$4,822
Indiana University HealthIndianapolis, IN · CCN 15005614$1,390About average$1,080$9,336
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 45005436$1,392About average$1,109$4,691
UNC HospitalsChapel Hill, NC · CCN 34006123$1,393About average$1,108$6,397
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 17000612$1,394About average$1,111$11,759
Baptist Health PaducahPaducah, KY · CCN 18010412$1,395About average$1,112$18,016
Northwest Specialty HospitalPost Falls, ID · CCN 13006618$1,397About average$1,107$1,782
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000936$1,400About average$1,115$2,951
Sanford USDMedical CenterSioux Falls, SD · CCN 43002715$1,402About average$1,117$2,691
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 39033218$1,405About average$1,106$11,862
Stillwater Medical CenterStillwater, OK · CCN 37004926$1,407About average$1,121$11,296

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 4,105 procedures at 155 hospitals · 2021: 4,526 procedures at 158 hospitals · 2022: 4,342 procedures at 167 hospitals · 2023: 4,579 procedures at 176 hospitals · 2024: 5,010 procedures at 177 hospitals
View data as a table
National average payment and billed charge for Level 3 ENT Procedures
Year of careAverage paymentAverage billed charge
2020$1,316$5,871
2021$1,344$5,442
2022$1,335$6,231
2023$1,313$6,690
2024$1,397$6,801

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 45 states
Average payment by state for Level 3 ENT Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont271$723$634–$710
Arizona231$774$767–$777
Kansas274$873$927–$1,239
Nebraska146$974$974–$974
Mississippi247$1,086$700–$1,074
New Hampshire3119$1,114$893–$1,306
Louisiana6103$1,159$1,099–$1,210
Virginia480$1,192$1,152–$1,336
Tennessee3116$1,203$1,232–$1,294
Ohio7358$1,223$1,050–$1,270
West Virginia597$1,241$1,211–$1,340
Illinois7217$1,243$1,025–$1,430
Idaho240$1,260$1,210–$1,335
Kentucky463$1,262$1,194–$1,344
Alabama140$1,273$1,273–$1,273
Oklahoma577$1,299$1,295–$1,314
Arkansas117$1,307$1,307–$1,307
South Carolina297$1,316$1,316–$1,316
North Carolina4130$1,320$1,300–$1,344
Missouri477$1,330$1,270–$1,439
Michigan7221$1,334$1,325–$1,360
Florida4170$1,347$1,296–$1,382
Pennsylvania14351$1,351$1,323–$1,452
Iowa398$1,352$1,271–$1,410
Georgia462$1,354$1,327–$1,415
New Mexico372$1,358$1,290–$1,381
Utah119$1,366$1,366–$1,366
Indiana7119$1,378$1,360–$1,384
Texas6153$1,383$1,365–$1,414
Maine344$1,393$1,381–$1,433
Wisconsin5167$1,418$1,389–$1,447
Montana371$1,427$1,414–$1,516
North Dakota248$1,430$1,430–$1,430
Colorado136$1,452$1,452–$1,452
Minnesota584$1,457$1,420–$1,447
South Dakota478$1,469$1,423–$1,531
District of Columbia114$1,472$1,472–$1,472
Washington6129$1,473$1,489–$1,539
Delaware113$1,530$1,530–$1,530
Oregon136$1,600$1,600–$1,600
Massachusetts9426$1,622$1,638–$1,638
New York8127$1,631$1,550–$1,732
Connecticut112$1,716$1,716–$1,716
New Jersey112$1,716$1,716–$1,716
California10548$1,911$1,813–$1,929

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.