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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

Hospitals in Missouri

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
Missouri
Specific hospitals up to 10
Average payment across these 14 hospitals
$2,633National $2,798 · Missouri $2,633
Median hospital
$2,800
Lowest to highest
$1,892–$3,029
Medicare procedures
283

14 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 4 ENT Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Barnes Jewish HospitalSaint Louis, MO · CCN 26003240$1,89232% below the national average$1,484$17,843
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 26016216$2,00628% below the national average$1,598$16,885
University Of Missouri Health CareColumbia, MO · CCN 26014125$2,647About average$2,091$15,311
Cox Medical CentersSpringfield, MO · CCN 26004029$2,707About average$2,157$14,062
Freeman Health System - Freeman WestJoplin, MO · CCN 26013714$2,707About average$2,157$14,155
Mercy Hospital SpringfieldSpringfield, MO · CCN 26006519$2,707About average$2,157$16,659
Truman Medical Center Hospital HillKansas City, MO · CCN 26004823$2,788About average$2,220$9,224
Liberty HospitalLiberty, MO · CCN 26017711$2,812About average$2,240$10,023
Missouri Baptist Medical CenterSaint Louis, MO · CCN 26010815$2,814About average$2,242$17,284
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 26010513$2,814About average$2,232$12,433
Phelps County Regional Medical CenterRolla, MO · CCN 26001711$2,846About average$2,223$11,783
Mercy Hospital St LouisSaint Louis, MO · CCN 26002024$2,865About average$2,282$13,550
Saint Francis Medical CenterCape Girardeau, MO · CCN 26018311$2,946About average$2,347$18,269
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 26000632$3,029About average$2,411$10,180

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
New Hampshire2471$820$1,342–$2,505
Mississippi2129$878$1,111–$2,167
Vermont339$1,800$1,545–$1,913
Illinois14423$2,389$2,974–$3,068
Kentucky5129$2,468$2,566–$2,750
Virginia8221$2,527$2,749–$2,840
Ohio19561$2,540$2,348–$2,726
North Carolina9242$2,589$2,802–$2,925
Tennessee8218$2,594$2,583–$2,726
Kansas6132$2,598$2,733–$2,803
Missouri14283$2,633$2,707–$2,838
Louisiana7182$2,647$2,636–$2,757
Idaho6120$2,653$2,552–$2,884
South Carolina8164$2,663$2,630–$2,777
Alabama395$2,668$2,615–$2,684
West Virginia267$2,682$2,678–$2,688
Oklahoma7196$2,708$2,670–$2,774
Georgia12206$2,756$2,675–$2,865
Iowa8204$2,761$2,754–$2,826
Nebraska393$2,773$2,804–$2,901
Arkansas683$2,803$2,744–$2,926
Florida21491$2,835$2,814–$2,916
Maine484$2,846$2,772–$3,025
Texas24587$2,859$2,783–$2,907
Michigan10308$2,863$2,765–$2,874
Indiana10243$2,875$2,809–$2,899
Utah599$2,875$2,884–$2,884
Minnesota7240$2,893$2,426–$2,916
District of Columbia112$2,943$2,943–$2,943
Wisconsin7178$2,972$2,908–$3,031
Pennsylvania13358$2,973$2,876–$3,097
South Dakota8222$2,990$2,950–$3,019
Nevada123$2,998$2,998–$2,998
Massachusetts15632$3,020$3,298–$3,458
New York23660$3,023$3,298–$3,626
New Mexico352$3,029$2,827–$3,055
Colorado453$3,065$3,065–$3,065
Arizona6140$3,081$3,105–$3,140
Montana242$3,090$3,048–$3,105
North Dakota350$3,091$3,019–$3,126
Washington13220$3,182$3,231–$3,288
Delaware114$3,230$3,230–$3,230
Rhode Island112$3,267$3,267–$3,267
Hawaii114$3,296$3,296–$3,296
Oregon6126$3,354$3,275–$3,483
New Jersey8135$3,415$3,270–$3,500
Alaska111$3,559$3,559–$3,559
Connecticut2127$3,564$3,556–$3,580
California26877$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.