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Outpatient procedure · APC 5165 · Surgery or procedure

Level 5 ENT Procedures

In 2024, Medicare and patients paid an average of $5,586 per procedure at 744 hospitals. Half of hospitals averaged between $5,081 and $5,904.

Also known as: Ear, nose and throat surgery, sinus surgery

National figures, 2024

Average payment per case
$5,586
Typical range (middle half of hospitals)
$5,081–$5,904
Medicare’s share
$4,43679% of the payment
Average billed charge
$41,129
Hospitals reporting
74433,150 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

736 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–200. Download as CSV

Medicare payments per case for Level 5 ENT Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Conway Regional Medical Center, IncConway, AR · CCN 04002913$5,02010% below the national average$3,999$17,946
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 04011491$5,02010% below the national average$3,995$28,001
Spectrum HealthGrand Rapids, MI · CCN 23003853$5,02010% below the national average$3,983$23,834
St Joseph HospitalBangor, ME · CCN 20000123$5,02510% below the national average$4,004$22,466
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 45013753$5,028About average$3,974$31,821
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 16008228$5,029About average$4,007$26,951
Mary Greeley Medical CenterAmes, IA · CCN 16003017$5,029About average$3,996$24,050
Willis Knighton Medical CenterShreveport, LA · CCN 19011155$5,029About average$4,007$37,269
Lexington Medical CenterWest Columbia, SC · CCN 42007355$5,032About average$4,009$39,719
Prisma Health Richland HospitalColumbia, SC · CCN 42001822$5,032About average$3,999$43,532
The Nebraska Medical CenterOmaha, NE · CCN 280013 · +$264 outlier payments per case208$5,036About average$4,002$24,123
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 18004814$5,040About average$4,016$14,650
CJW Medical CenterRichmond, VA · CCN 49011232$5,041About average$4,017$109,975
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 49008912$5,041About average$4,017$40,068
Lewisgale Medical CenterSalem, VA · CCN 49004815$5,042About average$4,000$86,210
Riverside Regional Medical CenterNewport News, VA · CCN 49005219$5,042About average$4,014$24,312
Lee Memorial HospitalFort Myers, FL · CCN 10001285$5,043About average$4,016$67,787
Bronson Methodist HospitalKalamazoo, MI · CCN 23001797$5,044About average$4,003$17,938
Mercy Hospital SouthSaint Louis, MO · CCN 26007721$5,045About average$3,982$18,024
Ascension Saint Thomas HospitalNashville, TN · CCN 44008256$5,045About average$4,020$24,556
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 37001316$5,045About average$4,020$14,457
Ascension St John Medical CenterTulsa, OK · CCN 37011429$5,045About average$4,019$23,597
Community Hospital, LLCOklahoma City, OK · CCN 37020317$5,045About average$4,016$36,389
Hillcrest Hospital SouthTulsa, OK · CCN 37020222$5,046About average$4,013$63,977
Integris Health Edmond HospitalEdmond, OK · CCN 37023632$5,046About average$4,003$42,081
Mercy Hospital St LouisSaint Louis, MO · CCN 26002072$5,049About average$3,984$23,624
Genesis Medical Center-DavenportDavenport, IA · CCN 16003311$5,050About average$4,024$16,667
St Lukes HospitalCedar Rapids, IA · CCN 16004518$5,050About average$4,024$21,915
St Francis-DowntownGreenville, SC · CCN 42002337$5,051About average$4,022$39,019
University Of Kansas HospitalKansas City, KS · CCN 170040138$5,051About average$4,013$31,870
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130123$5,052About average$3,989$31,444
Kettering Health Main CampusKettering, OH · CCN 36007920$5,056About average$3,974$52,842
Truman Medical Center Hospital HillKansas City, MO · CCN 26004812$5,061About average$4,032$27,521
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 19029814$5,070About average$4,040$46,980
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 15001719$5,074About average$3,997$68,744
Christus Mother Frances HospitalTyler, TX · CCN 45010281$5,081About average$4,049$58,405
Bsa HospitalAmarillo, TX · CCN 45023114$5,081About average$4,049$43,785
Covenant Medical CenterLubbock, TX · CCN 45004011$5,081About average$4,049$82,324
Hill Country Memorial HospitalFredericksburg, TX · CCN 45060442$5,081About average$4,049$27,030
Medical Center HospitalOdessa, TX · CCN 45013213$5,081About average$4,049$20,167
University Medical CenterLubbock, TX · CCN 45068634$5,081About average$4,049$40,996
Broward Health Medical CenterFort Lauderdale, FL · CCN 10003919$5,085About average$3,987$39,170
Blount Memorial HospitalMaryville, TN · CCN 44001113$5,088About average$4,053$20,436
Mease Countryside HospitalSafety Harbor, FL · CCN 10026519$5,092About average$4,004$45,418
Bethesda NorthCincinnati, OH · CCN 36017919$5,093About average$4,058$21,625
Mount Carmel St Ann'sWesterville, OH · CCN 36001229$5,093About average$4,018$40,722
Midwest Surgical Hospital LLCOmaha, NE · CCN 28013123$5,094About average$4,022$15,522
Bon Secours Southside Medical CenterPetersburg, VA · CCN 49006714$5,095About average$4,060$84,264
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005715$5,095About average$4,060$36,806
Novant Health Brunswick Medical CenterSupply, NC · CCN 34015812$5,096About average$4,056$28,123

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 27,909 procedures at 711 hospitals · 2021: 31,678 procedures at 755 hospitals · 2022: 32,082 procedures at 738 hospitals · 2023: 32,671 procedures at 748 hospitals · 2024: 33,150 procedures at 744 hospitals
View data as a table
National average payment and billed charge for Level 5 ENT Procedures
Year of careAverage paymentAverage billed charge
2020$4,831$33K
2021$5,104$35K
2022$5,171$37K
2023$5,285$39K
2024$5,586$41K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states
Average payment by state for Level 5 ENT Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont142$3,566$3,566–$3,566
Mississippi7245$4,527$4,696–$4,902
Missouri15763$4,657$4,910–$5,119
Alabama9489$4,776$4,640–$4,873
Louisiana14413$4,780$4,693–$4,958
Tennessee12782$4,845$4,791–$5,016
Ohio341,454$4,897$4,818–$5,046
West Virginia6184$4,942$4,884–$5,280
Oklahoma12573$4,956$4,922–$5,045
Kentucky10479$4,967$4,904–$5,020
South Carolina14739$4,978$4,871–$5,047
Arkansas10335$5,032$4,940–$5,180
Kansas12429$5,053$4,944–$5,114
Nebraska9484$5,115$5,036–$5,229
Iowa9386$5,117$5,029–$5,201
Georgia24819$5,122$4,950–$5,346
Florida372,610$5,168$5,216–$5,305
Michigan241,016$5,177$5,050–$5,229
Virginia19764$5,180$5,024–$5,389
Texas562,076$5,188$5,096–$5,287
North Carolina18965$5,212$5,099–$5,282
New Mexico7210$5,277$5,048–$5,183
Indiana20604$5,285$5,220–$5,408
Pennsylvania351,604$5,290$5,231–$5,650
Utah7301$5,312$5,097–$5,246
Idaho8241$5,315$5,270–$5,585
Maine4156$5,319$5,083–$5,413
Wisconsin18741$5,396$5,287–$5,467
Illinois351,212$5,491$5,412–$5,560
Montana6203$5,509$5,290–$5,695
North Dakota5155$5,523$5,490–$5,490
South Dakota8340$5,560$5,437–$5,588
Colorado12528$5,588$5,568–$5,575
Arizona14826$5,714$5,685–$5,711
Minnesota14742$5,738$5,556–$5,598
Delaware2117$5,780$5,767–$5,778
Wyoming232$5,880$5,880–$5,880
New Hampshire4261$5,891$5,607–$5,697
District of Columbia3254$5,922$5,912–$5,962
Washington22778$5,934$5,844–$6,113
Rhode Island265$5,943$5,943–$5,943
Alaska126$6,045$6,045–$6,045
Nevada6143$6,154$5,994–$6,272
Oregon9334$6,213$6,145–$6,188
Massachusetts201,174$6,255$6,244–$6,289
New Jersey16608$6,327$6,203–$6,539
New York381,922$6,432$6,209–$6,541
Connecticut10315$6,479$6,457–$6,590
Hawaii391$6,579$6,606–$6,795
California613,120$7,426$7,200–$7,711

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.