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 151–200. 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
Stillwater Medical CenterStillwater, OK · CCN 370049	16	$2,828	About average	$2,217	$21,684
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	15	$2,833	About average	$2,215	$22,043
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	15	$2,834	About average	$2,245	$33,289
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	15	$2,842	About average	$2,219	$14,758
Northwest Specialty HospitalPost Falls, ID · CCN 130066	22	$2,843	About average	$2,243	$11,152
Phelps County Regional Medical CenterRolla, MO · CCN 260017	11	$2,846	About average	$2,223	$11,783
Baylor University Medical CenterDallas, TX · CCN 450021	12	$2,847	About average	$2,268	$18,068
UNM HospitalAlbuquerque, NM · CCN 320001	16	$2,850	About average	$2,270	$9,251
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	14	$2,860	About average	$2,279	$34,966
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	15	$2,864	About average	$2,282	$28,589
Longview Regional Medical CenterLongview, TX · CCN 450702	17	$2,864	About average	$2,282	$53,978
Milton S Hershey Medical CenterHershey, PA · CCN 390256	11	$2,865	About average	$2,283	$39,294
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	24	$2,865	About average	$2,282	$13,550
Mayo ClinicJacksonville, FL · CCN 100151	46	$2,866	About average	$2,273	$23,881
Indiana University HealthIndianapolis, IN · CCN 150056	67	$2,867	About average	$2,269	$25,938
St Mary Medical Center IncHobart, IN · CCN 150034	15	$2,867	About average	$2,239	$17,755
Beaumont Hospital, TroyTroy, MI · CCN 230269	14	$2,869	About average	$2,286	$18,642
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	12	$2,869	About average	$2,286	$22,161
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	32	$2,870	About average	$2,268	$12,581
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	14	$2,870	About average	$2,274	$25,528
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	22	$2,870	About average	$2,287	$19,417
Deaconess Hospital IncEvansville, IN · CCN 150082	18	$2,870	About average	$2,284	$16,236
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	19	$2,875	About average	$2,291	$24,319
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	14	$2,875	About average	$2,291	$22,300
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	14	$2,876	About average	$2,291	$51,533
Geisinger Medical CenterDanville, PA · CCN 390006	24	$2,876	About average	$2,283	$37,327
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	11	$2,878	About average	$2,293	$17,677
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	13	$2,881	About average	$2,295	$25,592
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	32	$2,884	About average	$2,298	$12,207
Holy Cross Hospital-DavisLayton, UT · CCN 460041	11	$2,884	About average	$2,298	$11,656
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	13	$2,884	About average	$2,298	$11,451
Houston Methodist HospitalHouston, TX · CCN 450358	25	$2,890	About average	$2,283	$36,667
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	12	$2,893	About average	$2,305	$8,180
Northside HospitalAtlanta, GA · CCN 110161	25	$2,893	About average	$2,278	$36,289
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	28	$2,893	About average	$2,297	$31,073
Saint Francis Medical CenterPeoria, IL · CCN 140067	12	$2,897	About average	$2,292	$39,206
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	26	$2,897	About average	$2,308	$16,292
Navarro Regional HospitalCorsicana, TX · CCN 450447	11	$2,897	About average	$2,303	$29,225
St Luke's Regional Medical CenterBoise, ID · CCN 130006	28	$2,898	About average	$2,302	$17,897
Bryan Medical CenterLincoln, NE · CCN 280003	14	$2,901	About average	$2,312	$14,967
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	18	$2,901	About average	$2,312	$17,861
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	46	$2,907	About average	$2,316	$18,567
JPS Health NetworkFort Worth, TX · CCN 450039	11	$2,907	About average	$2,299	$16,671
Hendricks Regional HealthDanville, IN · CCN 150005	12	$2,908	About average	$2,317	$21,601
Baxter HealthMountain Home, AR · CCN 040027	12	$2,909	About average	$2,317	$12,319
Penn Highlands DuboisDubois, PA · CCN 390086	15	$2,916	About average	$2,290	$7,277
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	20	$2,916	About average	$2,324	$41,681
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	23	$2,916	About average	$2,324	$28,100
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117	16	$2,916	About average	$2,324	$23,294
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223	15	$2,916	About average	$2,324	$121,920

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.