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 101–150. 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
Norton Hospitals, IncLouisville, KY · CCN 180088	24	$2,750	About average	$2,188	$18,055
Shands JacksonvilleJacksonville, FL · CCN 100001	14	$2,750	About average	$2,158	$36,835
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	16	$2,753	About average	$2,164	$14,575
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	26	$2,754	About average	$2,184	$57,509
Allina United HospitalSaint Paul, MN · CCN 240038	19	$2,754	About average	$2,194	$14,910
Finley HospitalDubuque, IA · CCN 160117	15	$2,754	About average	$2,194	$14,088
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	14	$2,754	About average	$2,194	$18,132
Spencer Municipal HospitalSpencer, IA · CCN 160112	18	$2,754	About average	$2,191	$9,146
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	11	$2,758	About average	$2,189	$19,891
Elkhart General HospitalElkhart, IN · CCN 150018	11	$2,758	About average	$2,153	$15,516
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	17	$2,760	About average	$2,199	$10,173
Mountain View HospitalIdaho Falls, ID · CCN 130065	17	$2,762	About average	$2,173	$10,239
Broadlawns Medical CenterDes Moines, IA · CCN 160101	62	$2,763	About average	$2,197	$5,199
Providence St Peter HospitalOlympia, WA · CCN 500024	20	$2,767	About average	$2,205	$18,133
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	11	$2,772	About average	$2,164	$25,480
CJW Medical CenterRichmond, VA · CCN 490112	12	$2,772	About average	$2,208	$80,742
Riverside Regional Medical CenterNewport News, VA · CCN 490052	18	$2,772	About average	$2,209	$11,568
Hillcrest Hospital SouthTulsa, OK · CCN 370202	17	$2,774	About average	$2,210	$23,680
Tristar Centennial Medical CenterNashville, TN · CCN 440161	14	$2,774	About average	$2,210	$35,395
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	31	$2,774	About average	$2,208	$8,902
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	23	$2,776	About average	$2,192	$27,508
St Lukes HospitalCedar Rapids, IA · CCN 160045	17	$2,777	About average	$2,198	$12,888
Hays Medical CenterHays, KS · CCN 170013	13	$2,777	About average	$2,176	$9,339
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	12	$2,777	About average	$2,213	$31,442
Prisma Health Patewood HospitalGreenville, SC · CCN 420102	21	$2,777	About average	$2,213	$21,595
St Francis-DowntownGreenville, SC · CCN 420023	25	$2,777	About average	$2,213	$27,694
Trident Medical CenterCharleston, SC · CCN 420079	14	$2,778	About average	$2,213	$60,681
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298	13	$2,787	About average	$2,221	$19,207
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	23	$2,788	About average	$2,220	$9,224
Union Hospital IncTerre Haute, IN · CCN 150023	17	$2,790	About average	$2,191	$16,377
Willis Knighton Medical CenterShreveport, LA · CCN 190111	25	$2,791	About average	$2,215	$26,225
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	14	$2,794	About average	$2,226	$16,578
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	24	$2,798	About average	$2,210	$7,716
Chesapeake General HospitalChesapeake, VA · CCN 490120	14	$2,801	About average	$2,232	$20,568
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	18	$2,802	About average	$2,218	$27,415
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	14	$2,802	About average	$2,232	$22,262
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	11	$2,802	About average	$2,232	$23,303
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	17	$2,802	About average	$2,221	$30,726
Memorial Medical CenterLas Cruces, NM · CCN 320018	12	$2,804	About average	$2,234	$33,438
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	11	$2,804	About average	$2,228	$40,410
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	41	$2,804	About average	$2,199	$14,781
Liberty HospitalLiberty, MO · CCN 260177	11	$2,812	About average	$2,240	$10,023
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	16	$2,812	About average	$2,240	$10,142
Baptist Hospital Of MiamiMiami, FL · CCN 100008	17	$2,814	About average	$2,231	$33,040
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	15	$2,814	About average	$2,242	$17,284
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	13	$2,814	About average	$2,232	$12,433
Miami Valley HospitalDayton, OH · CCN 360051	24	$2,818	About average	$2,245	$28,006
Strong Memorial HospitalRochester, NY · CCN 330285	23	$2,820	About average	$2,247	$12,563
Emory University Hospital MidtownAtlanta, GA · CCN 110078	29	$2,826	About average	$2,219	$24,648
Ohio State University State Health SystemColumbus, OH · CCN 360085	36	$2,828	About average	$2,232	$20,275

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.