facebook tracking Level 3 ENT Procedures cost in Arkansas: 16 hospitals compared (APC 5163)

Level 3 ENT Procedures in Arkansas

What 16 hospitals in Arkansas charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $4,192 Hospital list price billed
Average allowed $1,307 Medicare's payment + patient's share
Medicare paid $1,042 Average per service
State rank #17 of 44 1 = lowest average payment

Hospitals in Arkansas billed an average of $4,192 for level 3 ent procedures, about 3.2 times the average medicare-allowed amount of $1,307. That payment is 6% 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 $1,307Billed $4,192

About 31¢ was paid for every $1 hospitals in Arkansas billed for this service.

Arkansas hospitals: level 3 ent procedures

Every Arkansas 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 Arkansas Medical SciencesLittle Rock 17 $4,192 $1,307 $1,042
Washington Regional Med CenterFayetteville – – – –
White County Medical CenterSearcy – – – –
St Bernards Medical CenterJonesboro – – – –
Northwest Medical Center-SpringdaleSpringdale – – – –
CHI St. Vincent Hospital Hot SpringsHot Springs – – – –
Baxter Regional Medical CenterMountain Home – – – –
Conway Regional Medical CenterConway – – – –
Baptist Health Medical Center North Little RockNorth Little Rock – – – –
Ouachita County Medical CenterCamden – – – –
Mercy Hospital Fort SmithFort Smith – – – –
Jefferson Regional Medical CtrPine Bluff – – – –
Saline Memorial HospitalBenton – – – –
Medical Center South ArkansasEl Dorado – – – –
Baptist Health Medical Center-Little RockLittle Rock – – – –
Nea Baptist Memorial HospitalJonesboro – – – –
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Level 3 ENT Procedures in other states

Questions

How much does level 3 ent procedures cost in Arkansas?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 16 hospitals in Arkansas was billed at $4,192 on average, while the average medicare-allowed amount was $1,307, of which Medicare paid $1,042. 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 Arkansas, average charges were 3.2 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.