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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 151–173. Download as CSV

Medicare payments per case for Level 3 ENT Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 22017136$1,63817% above the national average$1,305$7,999
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 22016354$1,63817% above the national average$1,305$5,141
Beth Israel Deaconess Medical CenterBoston, MA · CCN 22008613$1,63817% above the national average$1,305$12,391
Heywood Hospital -Gardner, MA · CCN 22009517$1,63817% above the national average$1,305$6,797
Southcoast Hospitals GroupFall River, MA · CCN 22007416$1,63817% above the national average$1,305$8,685
Tufts Medical CenterBoston, MA · CCN 22011615$1,63817% above the national average$1,305$8,640
Confluence Health HospitalWenatchee, WA · CCN 50001625$1,65118% above the national average$1,316$3,472
Uci Health-OrangeOrange, CA · CCN 050348109$1,69922% above the national average$1,354$3,631
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 31003812$1,71623% above the national average$1,367$7,406
Yale-New Haven HospitalNew Haven, CT · CCN 07002212$1,71623% above the national average$1,367$9,168
Nyu Langone HospitalsNew York, NY · CCN 33021416$1,71823% above the national average$1,366$18,100
Berkshire Medical CenterPittsfield, MA · CCN 22004611$1,72023% above the national average$1,370$6,975
Bassett HealthcareCooperstown, NY · CCN 33013611$1,73224% above the national average$1,380$1,836
Samaritan Medical CenterWatertown, NY · CCN 33015711$1,73224% above the national average$1,380$5,568
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002532$1,75426% above the national average$1,375$8,763
Enloe HealthChico, CA · CCN 05003920$1,79328% above the national average$1,409$6,863
Keck Hospital Of USCLos Angeles, CA · CCN 05069627$1,87534% above the national average$1,494$7,899
Community Memorial Hospital - VenturaVentura, CA · CCN 050394100$1,87534% above the national average$1,494$173
Oroville HospitalOroville, CA · CCN 05003013$1,87534% above the national average$1,494$8,921
University Of California Davis Medical CenterSacramento, CA · CCN 05059959$1,90136% above the national average$1,513$12,462
Adventist Health SonoraSonora, CA · CCN 05033529$1,93939% above the national average$1,545$3,324
Stanford Health CareStanford, CA · CCN 05044172$2,11852% above the national average$1,687$19,543
UCSF Medical CenterSan Francisco, CA · CCN 05045487$2,14854% above the national average$1,711$6,286

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.