facebook tracking Level 3 ENT Procedures cost in Alabama: 28 hospitals compared (APC 5163)

Level 3 ENT Procedures in Alabama

What 28 hospitals in Alabama charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $11,834 Hospital list price billed
Average allowed $1,273 Medicare's payment + patient's share
Medicare paid $1,014 Average per service
State rank #15 of 44 1 = lowest average payment

Hospitals in Alabama billed an average of $11,834 for level 3 ent procedures, about 9.3 times the average medicare-allowed amount of $1,273. That payment is 9% below the U.S. average of $1,397.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $1,273Billed $11,834

About 11¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 3 ent procedures

Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
University of Alabama HospitalBirmingham 40 $11,834 $1,273 $1,014
Marshall Medical Center SouthBoaz – – – –
North Alabama Medical CenterFlorence – – – –
Dekalb Regional Medical CenterFort Payne – – – –
Shelby Baptist Medical CenterAlabaster – – – –
UAB Callahan Eye Hospital AuthorityBirmingham – – – –
Helen Keller Memorial HospitalSheffield – – – –
Baptist Medical Center SouthMontgomery – – – –
East Alabama Medical Center and SnfOpelika – – – –
Cullman Regional Medical CenterCullman – – – –
Huntsville HospitalHuntsville – – – –
Flowers HospitalDothan – – – –
St Vincent's BirminghamBirmingham – – – –
Highlands Medical CenterScottsboro – – – –
Northeast Alabama Regional Med CenterAnniston – – – –
South Baldwin Regional Medical CenterFoley – – – –
Decatur General HospitalDecatur – – – –
USA Health University HospitalMobile – – – –
Walker Baptist Medical CenterJasper – – – –
D C H Regional Medical CenterTuscaloosa – – – –
Thomas HospitalFairhope – – – –
Princeton Baptist Medical CenterBirmingham – – – –
Grandview Medical CenterBirmingham – – – –
Mobile InfirmaryMobile – – – –
Troy Regional Medical CenterTroy – – – –
Crestwood Medical CenterHuntsville – – – –
Brookwood Medical CenterBirmingham – – – –
Springhill Medical CenterMobile – – – –
Level 3 ENT Procedures: all states All Alabama hospitals Alabama hospital finances
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Level 3 ENT Procedures in other states

Arkansas · $1,307 Idaho · $1,260 Illinois · $1,243 Kentucky · $1,262 North Carolina · $1,320 Oklahoma · $1,299 South Carolina · $1,316 West Virginia · $1,241

Questions

How much does level 3 ent procedures cost in Alabama?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 28 hospitals in Alabama was billed at $11,834 on average, while the average medicare-allowed amount was $1,273, of which Medicare paid $1,014. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Alabama, average charges were 9.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.