Level 3 ENT Procedures in Arizona
What 18 hospitals in Arizona charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.
Average charge
$3,340
Hospital list price billed
Average allowed
$774
Medicare's payment + patient's share
Medicare paid
$617
Average per service
State rank
#2 of 44
1 = lowest average payment
Hospitals in Arizona billed an average of $3,340 for level 3 ent procedures, about 4.3 times the average medicare-allowed amount of $774. That payment is 45% 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 $774Billed $3,340
About 23¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 3 ent procedures
Every Arizona 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 Medical CenterTucson | 19 | $2,802 | $783 | $624 |
| Yuma Regional Medical CenterYuma | 12 | $4,192 | $761 | $606 |
| Banner - University Medical Center PhoenixPhoenix | – | – | – | – |
| Tucson Medical CenterTucson | – | – | – | – |
| John C Lincoln North Mountain HospitalPhoenix | – | – | – | – |
| Flagstaff Medical CenterFlagstaff | – | – | – | – |
| St Joseph's Hospital and Medical CenterPhoenix | – | – | – | – |
| Chandler Regional Medical CenterChandler | – | – | – | – |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | – | – | – | – |
| Summit Healthcare Regional Medical CenterShow Low | – | – | – | – |
| Banner Desert Medical CenterMesa | – | – | – | – |
| Havasu Regional Medical CenterLake Havasu City | – | – | – | – |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | – | – | – | – |
| Mayo Clinic HospitalPhoenix | – | – | – | – |
| Banner-University Medical Center South CampusTucson | – | – | – | – |
| Valley View Medical CenterFort Mohave | – | – | – | – |
| Banner Gateway Medical CenterGilbert | – | – | – | – |
| Phoenix Children's HospitalPhoenix | – | – | – | – |
Level 3 ENT Procedures in other states
Questions
How much does level 3 ent procedures cost in Arizona?
In 2024 Medicare data, level 3 ent procedures (APC 5163) at 18 hospitals in Arizona was billed at $3,340 on average, while the average medicare-allowed amount was $774, of which Medicare paid $617. 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 Arizona, average charges were 4.3 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.