Outpatient procedure · APC 5164 · Surgery or procedure

Level 4 ENT Procedures

In 2024, Medicare and patients paid an average of $2,798 per procedure at 378 hospitals. Half of hospitals averaged between $2,736 and $3,140.

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

National figures, 2024

Average payment per case: $2,798
Typical range (middle half of hospitals): $2,736–$3,140
Medicare’s share: $2,21779% of the payment
Average billed charge: $20,680
Hospitals reporting: 37810,268 procedures

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Year of care

370 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 4 ENT Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
University Of Mississippi Medical CenterJackson, MS · CCN 250001	111	$583	79% below the national average	$464	$4,132
Carle Foundation HospitalUrbana, IL · CCN 140091	113	$658	76% below the national average	$522	$4,511
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	459	$760	73% below the national average	$605	$3,452
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	68	$853	70% below the national average	$677	$2,444
Marietta Memorial HospitalMarietta, OH · CCN 360147	16	$1,495	47% below the national average	$955	$14,936
Community Regional Medical CenterFresno, CA · CCN 050060	29	$1,501	46% below the national average	$1,196	$15,401
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	14	$1,524	46% below the national average	$889	$4,744
Kootenai HealthCoeur D'Alene, ID · CCN 130049	16	$1,530	45% below the national average	$1,212	$7,019
Rutland Regional Medical CenterRutland, VT · CCN 470005	11	$1,567	44% below the national average	$1,018	$10,867
Duke University HospitalDurham, NC · CCN 340030	57	$1,610	42% below the national average	$1,258	$11,316
University Of Louisville HospitalLouisville, KY · CCN 180141	28	$1,625	42% below the national average	$1,263	$10,173
Boston Medical CenterBoston, MA · CCN 220031	151	$1,763	37% below the national average	$1,402	$4,088
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	27	$1,794	36% below the national average	$1,429	$16,551
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	13	$1,861	34% below the national average	$1,468	$13,801
Rochester General HospitalRochester, NY · CCN 330125	42	$1,870	33% below the national average	$1,478	$5,625
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	40	$1,892	32% below the national average	$1,484	$17,843
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	66	$1,902	32% below the national average	$1,492	$17,032
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	11	$1,999	29% below the national average	$1,593	$15,807
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	16	$2,006	28% below the national average	$1,598	$16,885
University Of Kansas HospitalKansas City, KS · CCN 170040	34	$2,075	26% below the national average	$1,640	$15,333
Carle Health Methodist HospitalPeoria, IL · CCN 140209	12	$2,232	20% below the national average	$1,778	$26,988
MetroHealth SystemCleveland, OH · CCN 360059	94	$2,257	19% below the national average	$1,693	$15,414
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	14	$2,260	19% below the national average	$1,618	$11,916
Genesis HospitalZanesville, OH · CCN 360039	13	$2,278	19% below the national average	$1,665	$12,695
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	22	$2,312	17% below the national average	$1,840	$20,742
Ridgeview Medical CenterWaconia, MN · CCN 240056	17	$2,390	15% below the national average	$1,875	$7,759
UF Health Shands HospitalGainesville, FL · CCN 100113	23	$2,397	14% below the national average	$1,909	$30,184
Vanderbilt University Medical CenterNashville, TN · CCN 440039	65	$2,409	14% below the national average	$1,913	$27,640
ProMedica Toledo HospitalToledo, OH · CCN 360068	34	$2,418	14% below the national average	$1,923	$26,006
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	13	$2,447	13% below the national average	$1,874	$25,278
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	16	$2,450	12% below the national average	$1,895	$24,274
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	15	$2,462	12% below the national average	$1,962	$9,200
Portneuf Medical CenterPocatello, ID · CCN 130028	15	$2,482	11% below the national average	$1,978	$14,857
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	22	$2,510	10% below the national average	$1,931	$10,625
MUSC Medical CenterCharleston, SC · CCN 420004 · +$1,717 outlier payments per case	57	$2,520	About average	$1,976	$31,095
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	12	$2,535	About average	$1,983	$30,646
Franklin Woods Community HospitalJohnson City, TN · CCN 440184	14	$2,546	About average	$2,004	$23,051
Crestwood Medical CenterHuntsville, AL · CCN 010131	13	$2,549	About average	$1,997	$53,386
University Of Kentucky HospitalLexington, KY · CCN 180067	35	$2,566	About average	$2,020	$20,839
Prisma Health Richland HospitalColumbia, SC · CCN 420018	11	$2,566	About average	$2,003	$23,171
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	46	$2,574	About average	$2,041	$17,847
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	15	$2,577	About average	$2,024	$40,325
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	11	$2,591	About average	$2,023	$38,128
University Health System, IncKnoxville, TN · CCN 440015	35	$2,595	About average	$2,055	$11,753
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	27	$2,595	About average	$2,048	$15,240
University Medical CenterLubbock, TX · CCN 450686	13	$2,597	About average	$2,029	$31,186
Atrium Medical CenterFranklin, OH · CCN 360076	12	$2,609	About average	$2,033	$24,633
Cleveland ClinicCleveland, OH · CCN 360180	68	$2,611	About average	$2,065	$18,077
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	17	$2,612	About average	$2,032	$23,605
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	52	$2,623	About average	$2,056	$18,177

National trend

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

Average payment
Average billed charge

2020: 6,896 procedures at 325 hospitals · 2021: 8,068 procedures at 365 hospitals · 2022: 8,371 procedures at 382 hospitals · 2023: 8,001 procedures at 353 hospitals · 2024: 10,268 procedures at 378 hospitals

View data as a table

National average payment and billed charge for Level 4 ENT Procedures
Year of care	Average payment	Average billed charge
2020	$2,527	$17K
2021	$2,646	$17K
2022	$2,678	$19K
2023	$2,719	$21K
2024	$2,798	$21K

By state, 2024

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

Show all 49 states

Average payment by state for Level 4 ENT Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
New Hampshire	2	471	$820	$1,342–$2,505
Mississippi	2	129	$878	$1,111–$2,167
Vermont	3	39	$1,800	$1,545–$1,913
Illinois	14	423	$2,389	$2,974–$3,068
Kentucky	5	129	$2,468	$2,566–$2,750
Virginia	8	221	$2,527	$2,749–$2,840
Ohio	19	561	$2,540	$2,348–$2,726
North Carolina	9	242	$2,589	$2,802–$2,925
Tennessee	8	218	$2,594	$2,583–$2,726
Kansas	6	132	$2,598	$2,733–$2,803
Missouri	14	283	$2,633	$2,707–$2,838
Louisiana	7	182	$2,647	$2,636–$2,757
Idaho	6	120	$2,653	$2,552–$2,884
South Carolina	8	164	$2,663	$2,630–$2,777
Alabama	3	95	$2,668	$2,615–$2,684
West Virginia	2	67	$2,682	$2,678–$2,688
Oklahoma	7	196	$2,708	$2,670–$2,774
Georgia	12	206	$2,756	$2,675–$2,865
Iowa	8	204	$2,761	$2,754–$2,826
Nebraska	3	93	$2,773	$2,804–$2,901
Arkansas	6	83	$2,803	$2,744–$2,926
Florida	21	491	$2,835	$2,814–$2,916
Maine	4	84	$2,846	$2,772–$3,025
Texas	24	587	$2,859	$2,783–$2,907
Michigan	10	308	$2,863	$2,765–$2,874
Indiana	10	243	$2,875	$2,809–$2,899
Utah	5	99	$2,875	$2,884–$2,884
Minnesota	7	240	$2,893	$2,426–$2,916
District of Columbia	1	12	$2,943	$2,943–$2,943
Wisconsin	7	178	$2,972	$2,908–$3,031
Pennsylvania	13	358	$2,973	$2,876–$3,097
South Dakota	8	222	$2,990	$2,950–$3,019
Nevada	1	23	$2,998	$2,998–$2,998
Massachusetts	15	632	$3,020	$3,298–$3,458
New York	23	660	$3,023	$3,298–$3,626
New Mexico	3	52	$3,029	$2,827–$3,055
Colorado	4	53	$3,065	$3,065–$3,065
Arizona	6	140	$3,081	$3,105–$3,140
Montana	2	42	$3,090	$3,048–$3,105
North Dakota	3	50	$3,091	$3,019–$3,126
Washington	13	220	$3,182	$3,231–$3,288
Delaware	1	14	$3,230	$3,230–$3,230
Rhode Island	1	12	$3,267	$3,267–$3,267
Hawaii	1	14	$3,296	$3,296–$3,296
Oregon	6	126	$3,354	$3,275–$3,483
New Jersey	8	135	$3,415	$3,270–$3,500
Alaska	1	11	$3,559	$3,559–$3,559
Connecticut	2	127	$3,564	$3,556–$3,580
California	26	877	$3,847	$3,884–$3,959

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.