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 201–250. 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
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	13	$2,916	About average	$2,324	$52,178
Sarasota Memorial HospitalSarasota, FL · CCN 100087	23	$2,916	About average	$2,324	$36,411
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	12	$2,916	About average	$2,324	$32,767
Tampa General HospitalTampa, FL · CCN 100128	28	$2,916	About average	$2,323	$75,132
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	31	$2,916	About average	$2,321	$27,591
Baptist HospitalPensacola, FL · CCN 100093	19	$2,916	About average	$2,320	$47,587
AdventHealth OrlandoOrlando, FL · CCN 100007	36	$2,916	About average	$2,318	$36,596
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292	34	$2,916	About average	$2,318	$33,706
Sioux Falls Specialty HospitalSioux Falls, SD · CCN 430090	22	$2,922	About average	$2,308	$25,657
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	91	$2,923	About average	$2,326	$16,151
Highland HospitalOakland, CA · CCN 050320	26	$2,923	About average	$2,322	$20,721
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	25	$2,925	About average	$2,331	$14,231
White County Medical CenterSearcy, AR · CCN 040014	12	$2,931	About average	$2,336	$2,590
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	43	$2,935	About average	$2,331	$31,193
UnityPoint Health - MeriterMadison, WI · CCN 520089	20	$2,936	About average	$2,315	$16,603
UNC HospitalsChapel Hill, NC · CCN 340061	32	$2,940	About average	$2,342	$13,941
MedStar Washington Hospital CenterWashington, DC · CCN 090011	12	$2,943	About average	$2,273	$15,137
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	12	$2,944	About average	$2,345	$22,141
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$349 outlier payments per case	160	$2,945	About average	$2,332	$21,459
Baptist Health PaducahPaducah, KY · CCN 180104	20	$2,946	About average	$2,347	$32,783
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	11	$2,946	About average	$2,347	$18,269
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	23	$2,956	About average	$2,351	$14,701
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	14	$2,957	About average	$2,356	$10,172
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	21	$2,960	About average	$2,357	$13,642
Edward HospitalNaperville, IL · CCN 140231	19	$2,962	About average	$2,327	$20,169
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	20	$2,974	About average	$2,369	$13,530
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	38	$2,978	About average	$2,372	$17,182
Community HospitalMunster, IN · CCN 150125	49	$2,979	About average	$2,360	$18,466
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	11	$2,985	About average	$2,379	$10,519
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	14	$2,985	About average	$2,379	$30,276
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	12	$2,985	About average	$2,379	$36,040
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	14	$2,985	About average	$2,379	$61,729
HCA Houston Healthcare ConroeConroe, TX · CCN 450222	68	$2,985	About average	$2,376	$53,773
Southeastern Regional Medical Center, IncNewnan, GA · CCN 110233	17	$2,988	About average	$2,381	$12,945
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	14	$2,992	About average	$2,338	$17,198
Virginia Mason Medical CenterSeattle, WA · CCN 500005	33	$2,992	About average	$2,335	$18,371
Renown Regional Medical CenterReno, NV · CCN 290001	23	$2,998	About average	$2,389	$21,238
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	22	$2,999	About average	$2,360	$21,938
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	66	$3,006	About average	$2,393	$17,161
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	19	$3,012	About average	$2,400	$18,593
Dunes Surgical HospitalDakota Dunes, SD · CCN 430089	15	$3,019	About average	$2,405	$20,843
Essentia HealthFargo, ND · CCN 350070	15	$3,019	About average	$2,405	$8,849
Same Day Surgery Center LLCRapid City, SD · CCN 430093	22	$3,019	About average	$2,405	$15,309
Sanford Medical Center FargoFargo, ND · CCN 350011	18	$3,019	About average	$2,405	$12,166
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	77	$3,019	About average	$2,405	$14,937
Avera St LukesAberdeen, SD · CCN 430014	15	$3,019	About average	$2,400	$11,064
St. Patrick HospitalMissoula, MT · CCN 270014	16	$3,019	About average	$2,393	$11,243
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	12	$3,025	About average	$2,410	$7,645
York HospitalYork, ME · CCN 200020	14	$3,025	About average	$2,410	$8,879
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	56	$3,027	About average	$2,399	$24,619

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.