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 Texas

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.

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Year of care

Average payment across these 23 hospitals: $2,854National $2,798 · Texas $2,859
Median hospital: $2,864
Lowest to highest: $2,591–$2,985
Medicare procedures: 467

23 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	11	$2,591	About average	$2,023	$38,128
University Medical CenterLubbock, TX · CCN 450686	13	$2,597	About average	$2,029	$31,186
Christus Mother Frances HospitalTyler, TX · CCN 450102	42	$2,661	About average	$2,120	$32,512
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	16	$2,699	About average	$2,117	$11,082
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	15	$2,745	About average	$2,155	$10,505
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	16	$2,753	About average	$2,164	$14,575
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	14	$2,794	About average	$2,226	$16,578
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	11	$2,804	About average	$2,228	$40,410
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	15	$2,834	About average	$2,245	$33,289
Baylor University Medical CenterDallas, TX · CCN 450021	12	$2,847	About average	$2,268	$18,068
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
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	32	$2,870	About average	$2,268	$12,581
Houston Methodist HospitalHouston, TX · CCN 450358	25	$2,890	About average	$2,283	$36,667
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
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
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

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.