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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

Hospitals in Georgia

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
Georgia
Specific hospitals up to 10
Average payment across these 24 hospitals
$5,122National $5,586 · Georgia $5,122
Median hospital
$5,268
Lowest to highest
$4,391–$5,435
Medicare procedures
819

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

Medicare payments per case for Level 5 ENT Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Piedmont Hospital, IncAtlanta, GA · CCN 11008325$4,39121% below the national average$3,499$61,968
Piedmont Augusta HospitalAugusta, GA · CCN 11002833$4,67216% below the national average$3,665$35,527
Wellstar Cobb Medical CenterAustell, GA · CCN 11014314$4,73615% below the national average$3,773$44,939
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034134$4,87713% below the national average$3,870$26,474
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 11003638$4,95011% below the national average$3,944$54,715
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 11012924$4,95011% below the national average$3,944$30,287
Candler HospitalSavannah, GA · CCN 11002443$4,95011% below the national average$3,939$26,609
Northeast Georgia Medical Center, IncGainesville, GA · CCN 11002961$5,130About average$4,045$62,881
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 11003550$5,227About average$4,149$63,504
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010719$5,236About average$4,170$29,864
Piedmont Athens Regional Medical CenterAthens, GA · CCN 11007419$5,241About average$4,176$59,993
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 11008218$5,262About average$4,193$26,062
Emory University Hospital MidtownAtlanta, GA · CCN 110078 · +$1,887 outlier payments per case73$5,273About average$4,163$39,505
Wellstar North Fulton Medical CenterRoswell, GA · CCN 11019829$5,285About average$4,181$46,414
Northside Hospital CherokeeCanton, GA · CCN 11000827$5,314About average$4,234$55,289
Atrium Health Floyd Medical CenterRome, GA · CCN 11005411$5,339About average$4,254$46,252
Hamilton Medical CenterDalton, GA · CCN 11000113$5,339About average$4,254$35,063
Emory University HospitalAtlanta, GA · CCN 11001047$5,343About average$4,238$37,572
Northside HospitalAtlanta, GA · CCN 11016154$5,355About average$4,248$46,961
Emory Decatur HospitalDecatur, GA · CCN 11007622$5,435About average$4,330$30,426
Northside Hospital ForsythCumming, GA · CCN 11000518$5,435About average$4,330$42,723
Northside Hospital GwinnettLawrenceville, GA · CCN 11008714$5,435About average$4,330$48,119
Piedmont Newnan Hospital, IncNewnan, GA · CCN 11022913$5,435About average$4,330$45,867
Southeastern Regional Medical Center, IncNewnan, GA · CCN 11023320$5,435About average$4,330$31,388

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.