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

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Year of care

173 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. Download as CSV

Medicare payments per case for Level 3 ENT Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	14	$1,409	About average	$1,123	$10,315
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	70	$1,411	About average	$1,124	$8,777
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	18	$1,414	About average	$1,127	$4,326
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	11	$1,414	About average	$1,127	$8,328
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	15	$1,415	About average	$1,128	$18,319
Southeastern Regional Medical Center, IncNewnan, GA · CCN 110233	13	$1,415	About average	$1,128	$6,712
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	15	$1,417	About average	$1,085	$15,893
Essentia Health DuluthDuluth, MN · CCN 240019	27	$1,420	About average	$1,131	$3,319
Range Regional Health ServicesHibbing, MN · CCN 240040	11	$1,420	About average	$1,131	$2,962
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	29	$1,430	About average	$1,139	$4,628
Sanford Medical Center FargoFargo, ND · CCN 350011	31	$1,430	About average	$1,138	$1,808
Sanford Medical Center BismarckBismarck, ND · CCN 350015	17	$1,430	About average	$1,134	$705
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	13	$1,431	About average	$1,140	$7,696
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	16	$1,433	About average	$1,142	$3,847
York HospitalYork, ME · CCN 200020	11	$1,433	About average	$1,142	$4,499
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 320002	28	$1,434	About average	$1,143	$3,307
Community HospitalMunster, IN · CCN 150125	16	$1,434	About average	$1,141	$10,791
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	16	$1,435	About average	$1,143	$3,564
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	13	$1,437	About average	$1,145	$3,283
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	17	$1,446	About average	$1,152	$8,062
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	42	$1,447	About average	$1,153	$2,505
St Lukes HospitalDuluth, MN · CCN 240047	11	$1,447	About average	$1,153	$2,738
The University Of Chicago Medical CenterChicago, IL · CCN 140088	37	$1,451	About average	$1,148	$14,114
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	36	$1,452	About average	$1,151	$8,598
Phelps County Regional Medical CenterRolla, MO · CCN 260017	14	$1,454	About average	$1,158	$3,421
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	42	$1,454	About average	$1,158	$4,800
Lehigh Valley HospitalAllentown, PA · CCN 390133	37	$1,455	About average	$1,151	$13,038
Cheshire Medical CenterKeene, NH · CCN 300019	13	$1,462	About average	$1,163	$1,219
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	17	$1,471	About average	$1,171	$11,428
MedStar Washington Hospital CenterWashington, DC · CCN 090011	14	$1,472	About average	$1,154	$8,489
Kadlec Regional Medical CenterRichland, WA · CCN 500058	28	$1,476	About average	$1,176	$3,047
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	27	$1,478	About average	$1,178	$1,848
Loyola University Medical CenterMaywood, IL · CCN 140276	47	$1,483	About average	$1,181	$4,459
Beloit Health SystemBeloit, WI · CCN 520100	22	$1,483	About average	$1,180	$1,828
Boston Medical CenterBoston, MA · CCN 220031	34	$1,493	About average	$1,189	$4,449
St Peters HealthHelena, MT · CCN 270003	22	$1,502	About average	$1,196	$3,263
F F Thompson HospitalCanandaigua, NY · CCN 330074	14	$1,525	About average	$1,196	$2,749
Virginia Mason Medical CenterSeattle, WA · CCN 500005	36	$1,527	About average	$1,217	$4,764
Beebe Medical CenterLewes, DE · CCN 080007	13	$1,530	About average	$1,219	$7,876
University Of Washington Medical CenterSeattle, WA · CCN 500008	17	$1,531	About average	$1,220	$4,877
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	16	$1,531	About average	$1,220	$1,961
Monument Health Spearfish HospitalSpearfish, SD · CCN 430048	22	$1,531	About average	$1,220	$2,820
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	12	$1,531	About average	$1,215	$4,330
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	16	$1,536	About average	$1,224	$7,422
Skagit Valley HospitalMount Vernon, WA · CCN 500003	11	$1,542	10% above the national average	$1,229	$2,759
Glens Falls HospitalGlens Falls, NY · CCN 330191	22	$1,559	12% above the national average	$1,221	$5,377
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	20	$1,563	12% above the national average	$1,243	$2,403
OHSU Hospital And ClinicsPortland, OR · CCN 380009	36	$1,600	15% above the national average	$1,266	$6,723
Albany Medical Center HospitalAlbany, NY · CCN 330013	13	$1,617	16% above the national average	$1,288	$7,865
Massachusetts Eye And Ear Infirmary -Boston, MA · CCN 220075	230	$1,627	16% above the national average	$1,293	$3,465

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 care	Average payment	Average 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
State	Hospitals	Cases	Average payment	Typical range
Vermont	2	71	$723	$634–$710
Arizona	2	31	$774	$767–$777
Kansas	2	74	$873	$927–$1,239
Nebraska	1	46	$974	$974–$974
Mississippi	2	47	$1,086	$700–$1,074
New Hampshire	3	119	$1,114	$893–$1,306
Louisiana	6	103	$1,159	$1,099–$1,210
Virginia	4	80	$1,192	$1,152–$1,336
Tennessee	3	116	$1,203	$1,232–$1,294
Ohio	7	358	$1,223	$1,050–$1,270
West Virginia	5	97	$1,241	$1,211–$1,340
Illinois	7	217	$1,243	$1,025–$1,430
Idaho	2	40	$1,260	$1,210–$1,335
Kentucky	4	63	$1,262	$1,194–$1,344
Alabama	1	40	$1,273	$1,273–$1,273
Oklahoma	5	77	$1,299	$1,295–$1,314
Arkansas	1	17	$1,307	$1,307–$1,307
South Carolina	2	97	$1,316	$1,316–$1,316
North Carolina	4	130	$1,320	$1,300–$1,344
Missouri	4	77	$1,330	$1,270–$1,439
Michigan	7	221	$1,334	$1,325–$1,360
Florida	4	170	$1,347	$1,296–$1,382
Pennsylvania	14	351	$1,351	$1,323–$1,452
Iowa	3	98	$1,352	$1,271–$1,410
Georgia	4	62	$1,354	$1,327–$1,415
New Mexico	3	72	$1,358	$1,290–$1,381
Utah	1	19	$1,366	$1,366–$1,366
Indiana	7	119	$1,378	$1,360–$1,384
Texas	6	153	$1,383	$1,365–$1,414
Maine	3	44	$1,393	$1,381–$1,433
Wisconsin	5	167	$1,418	$1,389–$1,447
Montana	3	71	$1,427	$1,414–$1,516
North Dakota	2	48	$1,430	$1,430–$1,430
Colorado	1	36	$1,452	$1,452–$1,452
Minnesota	5	84	$1,457	$1,420–$1,447
South Dakota	4	78	$1,469	$1,423–$1,531
District of Columbia	1	14	$1,472	$1,472–$1,472
Washington	6	129	$1,473	$1,489–$1,539
Delaware	1	13	$1,530	$1,530–$1,530
Oregon	1	36	$1,600	$1,600–$1,600
Massachusetts	9	426	$1,622	$1,638–$1,638
New York	8	127	$1,631	$1,550–$1,732
Connecticut	1	12	$1,716	$1,716–$1,716
New Jersey	1	12	$1,716	$1,716–$1,716
California	10	548	$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.