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 251–300. 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
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	32	$3,029	About average	$2,411	$10,180
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	13	$3,030	About average	$2,414	$31,918
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	18	$3,033	About average	$2,417	$19,403
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	14	$3,038	About average	$2,420	$25,992
The University Of Chicago Medical CenterChicago, IL · CCN 140088	27	$3,039	About average	$2,403	$40,008
St Lukes HospitalBethlehem, PA · CCN 390049	27	$3,048	About average	$2,404	$49,581
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	24	$3,054	About average	$2,434	$10,345
St Bernard HospitalChicago, IL · CCN 140103	25	$3,057	About average	$2,430	$8,794
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	16	$3,057	About average	$2,428	$30,691
Loyola University Medical CenterMaywood, IL · CCN 140276	37	$3,064	About average	$2,419	$19,642
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	12	$3,065	About average	$2,442	$24,473
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	12	$3,065	About average	$2,442	$27,980
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	11	$3,065	About average	$2,442	$27,151
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	18	$3,065	About average	$2,436	$38,301
Yakima Valley MemorialYakima, WA · CCN 500036	11	$3,067	About average	$2,443	$11,703
Northwestern Memorial HospitalChicago, IL · CCN 140281	40	$3,069	About average	$2,433	$42,713
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	41	$3,071	About average	$2,434	$13,372
Rush University Medical CenterChicago, IL · CCN 140119	31	$3,071	About average	$2,447	$23,767
Reid HealthRichmond, IN · CCN 150048	12	$3,074	About average	$2,449	$17,266
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	11	$3,078	About average	$2,452	$19,874
Exeter Hospital IncExeter, NH · CCN 300023	12	$3,087	10% above the national average	$2,459	$15,290
Tufts Medical CenterBoston, MA · CCN 220116	22	$3,088	10% above the national average	$2,379	$16,250
St. George Regional HospitalSt George, UT · CCN 460021	18	$3,089	10% above the national average	$2,461	$7,812
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	54	$3,093	11% above the national average	$2,455	$23,163
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	22	$3,097	11% above the national average	$2,417	$18,697
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	12	$3,121	12% above the national average	$2,486	$28,325
Crozer Chester Medical CenterUpland, PA · CCN 390180	17	$3,128	12% above the national average	$2,492	$15,997
Logan Health Medical CenterKalispell, MT · CCN 270051	26	$3,134	12% above the national average	$2,477	$10,660
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	16	$3,140	12% above the national average	$2,501	$22,158
Banner Desert Medical CenterMesa, AZ · CCN 030065	13	$3,140	12% above the national average	$2,501	$25,025
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	26	$3,140	12% above the national average	$2,499	$32,404
Lehigh Valley HospitalAllentown, PA · CCN 390133	30	$3,140	12% above the national average	$2,502	$23,137
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	13	$3,176	14% above the national average	$2,531	$13,364
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	17	$3,187	14% above the national average	$2,538	$9,083
Albany Medical Center HospitalAlbany, NY · CCN 330013	24	$3,188	14% above the national average	$2,492	$8,946
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	13	$3,204	14% above the national average	$2,510	$26,316
Emerson Hospital -W Concord, MA · CCN 220084	12	$3,228	15% above the national average	$2,525	$6,808
West Jersey HospitalVoorhees, NJ · CCN 310022	15	$3,228	15% above the national average	$2,518	$32,274
Christiana HospitalNewark, DE · CCN 080001	14	$3,230	15% above the national average	$2,574	$13,748
Deaconess Medical CenterSpokane, WA · CCN 500044	18	$3,231	15% above the national average	$2,575	$17,100
Harborview Medical CenterSeattle, WA · CCN 500064	19	$3,231	15% above the national average	$2,575	$25,330
University Of Washington Medical CenterSeattle, WA · CCN 500008	20	$3,231	15% above the national average	$2,575	$23,584
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	15	$3,232	15% above the national average	$2,567	$18,922
Kadlec Regional Medical CenterRichland, WA · CCN 500058	18	$3,232	15% above the national average	$2,565	$12,031
Altru HospitalGrand Forks, ND · CCN 350019	17	$3,233	16% above the national average	$2,575	$12,966
Samaritan Albany General HospitalAlbany, OR · CCN 380022	26	$3,240	16% above the national average	$2,553	$13,209
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	12	$3,244	16% above the national average	$2,584	$22,227
Brigham And Women's HospitalBoston, MA · CCN 220110	26	$3,246	16% above the national average	$2,543	$21,487
Skagit Valley HospitalMount Vernon, WA · CCN 500003	14	$3,255	16% above the national average	$2,594	$9,472
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 320002	24	$3,260	17% above the national average	$2,598	$11,442

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.