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

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

Sort by

Order

Year of care

370 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. 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
Candler HospitalSavannah, GA · CCN 110024	23	$2,630	About average	$2,074	$17,652
Kettering Health DaytonDayton, OH · CCN 360133	12	$2,631	About average	$2,058	$37,202
Orlando HealthOrlando, FL · CCN 100006	39	$2,633	About average	$2,078	$43,503
St Josephs HospitalTampa, FL · CCN 100075	17	$2,643	About average	$2,050	$19,845
King's Daughters' Medical CenterAshland, KY · CCN 180009	22	$2,643	About average	$2,086	$15,563
University Of Missouri Health CareColumbia, MO · CCN 260141	25	$2,647	About average	$2,091	$15,311
Conway Medical CenterConway, SC · CCN 420049	13	$2,652	About average	$2,106	$15,133
Parkwest Medical CenterKnoxville, TN · CCN 440173	25	$2,655	About average	$2,116	$8,545
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	12	$2,656	About average	$2,086	$22,256
Christus Mother Frances HospitalTyler, TX · CCN 450102	42	$2,661	About average	$2,120	$32,512
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	20	$2,661	About average	$2,073	$32,796
Saint Francis Hospital, IncTulsa, OK · CCN 370091	31	$2,664	About average	$2,108	$14,246
UH Cleveland Medical CenterCleveland, OH · CCN 360137	27	$2,667	About average	$2,109	$18,983
O U Medical CenterOklahoma City, OK · CCN 370093	37	$2,669	About average	$2,109	$48,542
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	43	$2,671	About average	$2,107	$23,101
Charleston Area Medical CenterCharleston, WV · CCN 510022	38	$2,672	About average	$2,105	$30,358
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033	17	$2,673	About average	$2,103	$16,260
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	21	$2,675	About average	$2,110	$21,115
Lafayette Surgical Specialty HospitalLafayette, LA · CCN 190259	59	$2,677	About average	$2,133	$10,004
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	24	$2,677	About average	$2,133	$16,739
Grandview Medical CenterBirmingham, AL · CCN 010104	14	$2,680	About average	$2,136	$81,941
Carilion Medical CenterRoanoke, VA · CCN 490024	56	$2,683	About average	$2,124	$33,135
University Of Alabama HospitalBirmingham, AL · CCN 010033	68	$2,688	About average	$2,141	$20,093
Northside Hospital CherokeeCanton, GA · CCN 110008	12	$2,689	About average	$2,136	$29,604
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	29	$2,694	About average	$2,146	$19,134
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	18	$2,695	About average	$2,147	$19,957
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	49	$2,696	About average	$2,117	$27,073
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	16	$2,699	About average	$2,117	$11,082
Intermountain Medical CenterMurray, UT · CCN 460010	25	$2,700	About average	$2,114	$12,395
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	34	$2,701	About average	$2,152	$24,965
The Nebraska Medical CenterOmaha, NE · CCN 280013	61	$2,706	About average	$2,149	$7,699
Cox Medical CentersSpringfield, MO · CCN 260040	29	$2,707	About average	$2,157	$14,062
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	14	$2,707	About average	$2,157	$14,155
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	19	$2,707	About average	$2,157	$16,659
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	17	$2,709	About average	$2,146	$19,182
Baptist Memorial HospitalMemphis, TN · CCN 440048	19	$2,720	About average	$2,167	$16,918
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	11	$2,721	About average	$2,168	$15,387
Good Samaritan HospitalCincinnati, OH · CCN 360134	18	$2,722	About average	$2,169	$16,023
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	22	$2,724	About average	$2,161	$22,407
Stormont Vail HospitalTopeka, KS · CCN 170086	33	$2,727	About average	$2,144	$12,189
Touro InfirmaryNew Orleans, LA · CCN 190046	12	$2,727	About average	$2,169	$25,651
Christ HospitalCincinnati, OH · CCN 360163	26	$2,730	About average	$2,157	$15,914
Yuma Regional Medical CenterYuma, AZ · CCN 030013	20	$2,731	About average	$2,166	$16,762
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	16	$2,733	About average	$2,144	$21,898
Regions HospitalSaint Paul, MN · CCN 240106	28	$2,735	About average	$2,098	$11,625
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	16	$2,738	About average	$2,175	$6,996
Henry Ford Health HospitalDetroit, MI · CCN 230053	26	$2,742	About average	$2,178	$13,847
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	29	$2,744	About average	$2,173	$16,037
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	15	$2,745	About average	$2,155	$10,505
Wesley Medical CenterWichita, KS · CCN 170123	24	$2,749	About average	$2,159	$64,333

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.