Level 3 ENT Procedures cost in California: 100 hospitals compared (APC 5163)

Average charge $7,200 Hospital list price billed

Average allowed $1,911 Medicare's payment + patient's share

Medicare paid $1,521 Average per service

State rank #44 of 44 1 = lowest average payment

Hospitals in California billed an average of $7,200 for level 3 ent procedures, about 3.8 times the average medicare-allowed amount of $1,911. That payment is 37% above 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 $1,911Billed $7,200

About 27¢ was paid for every $1 hospitals in California billed for this service.

See another state:

California hospitals: level 3 ent procedures

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

Hospital	Services	Avg charge	Avg allowed	Medicare paid
UCI Health-OrangeOrange	109	$3,631	$1,700	$1,354
Community Memorial Hospital - VenturaVentura	100	$173	$1,875	$1,494
UCSF Medical CenterSan Francisco	87	$6,286	$2,148	$1,711
Stanford HospitalPalo Alto	72	$19,543	$2,118	$1,687
University of California Davis Medical CenterSacramento	59	$12,462	$1,901	$1,513
University of California San Diego Medical CenterSan Diego	32	$8,763	$1,754	$1,375
Sonora Community HospitalSonora	29	$3,324	$1,939	$1,545
USC University HospitalLos Angeles	27	$7,899	$1,875	$1,494
Enloe Medical CenterChico	20	$6,863	$1,793	$1,409
Oroville HospitalOroville	13	$8,921	$1,875	$1,494
St Joseph HospitalEureka	–	–	–	–
California Pacific Medical Ctr-Davies Campus HospSan Francisco	–	–	–	–
Queen of the Valley Medical CenterNapa	–	–	–	–
Mercy General HospitalSacramento	–	–	–	–
Grossmont HospitalLa Mesa	–	–	–	–
Santa Clara Valley Medical CenterSan Jose	–	–	–	–
Lac/Olive View-UCLA Medical CenterSylmar	–	–	–	–
California Pacific Medical Ctr-Pacific Campus HospSan Francisco	–	–	–	–
California Pacific Medical Ctr - St. Luke's CampusSan Francisco	–	–	–	–
Kaweah Delta Medical CenterVisalia	–	–	–	–
Community Regional Medical CenterFresno	–	–	–	–
St Joseph HospitalOrange	–	–	–	–
Kaiser Foundation HospitalSanta Clara	–	–	–	–
Scripps Mercy HospitalSan Diego	–	–	–	–
St Johns Regional Medical CenterOxnard	–	–	–	–
St Josephs Med Center of StocktonStockton	–	–	–	–
Saint Agnes Medical CenterFresno	–	–	–	–
San Antonio Community HospitalUpland	–	–	–	–
Sharp Memorial HospitalSan Diego	–	–	–	–
Sutter Solano Medical CenterVallejo	–	–	–	–
Sutter General HospitalSacramento	–	–	–	–
Lompoc Healthcare DistrictLompoc	–	–	–	–
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica	–	–	–	–
Regional Medical Center of San JoseSan Jose	–	–	–	–
Novato Community HospitalNovato	–	–	–	–
Rideout Memorial HospitalMarysville	–	–	–	–
Kaiser Foundation HospitalBellflower	–	–	–	–
Community Hospital of the Monterey PeninsulaMonterey	–	–	–	–
City of Hope Natl Medical CtrDuarte	–	–	–	–
St Jude Medical CenterFullerton	–	–	–	–
PIH Health Hospital-WhittierWhittier	–	–	–	–
Santa Rosa Memorial HospitalSanta Rosa	–	–	–	–
Emanuel Medical Center INCTurlock	–	–	–	–
John Muir Medical Center - Walnut Creek CampusWalnut Creek	–	–	–	–
St Mary Medical CenterLong Beach	–	–	–	–
Washington HospitalFremont	–	–	–	–
Hoag Memorial Hospital PresbyterianNewport Beach	–	–	–	–
San Francisco General HospitalSan Francisco	–	–	–	–
French Hospital Medical CenterSan Luis Obispo	–	–	–	–
Simi Valley Hospital & Health Care ServicesSimi Valley	–	–	–	–
Arrowhead Regional Medical CenterColton	–	–	–	–
Marshall Medical Center (1-Rh)Placerville	–	–	–	–
Sierra View District HospitalPorterville	–	–	–	–
UCLA Medical CenterLos Angeles	–	–	–	–
Redlands Community HospitalRedlands	–	–	–	–
Mercy Medical Center ReddingRedding	–	–	–	–
Sutter Medical Center of Santa RosaSanta Rosa	–	–	–	–
Mercy HospitalBakersfield	–	–	–	–
Kern Medical CenterBakersfield	–	–	–	–
Highland HospitalOakland	–	–	–	–
Scripps Memorial Hospital la JollaLa Jolla	–	–	–	–
Lodi Memorial HospitalLodi	–	–	–	–
Torrance Memorial Medical CenterTorrance	–	–	–	–
Barton Memorial HospitalSouth Lake Tahoe	–	–	–	–
Providence Little Company of Mary Med Ctr TorranceTorrance	–	–	–	–
Marinhealth Medical CenterGreenbrae	–	–	–	–
Los Angeles General Medical CenterLos Angeles	–	–	–	–
Lac/Harbor-UCLA Med CenterTorrance	–	–	–	–
Santa Barbara Cottage HospitalSanta Barbara	–	–	–	–
Chinese HospitalSan Francisco	–	–	–	–
Kaiser Foundation Hospital - Harbor CityHarbor City	–	–	–	–
Sutter Coast HospitalCrescent City	–	–	–	–
Scripps Green HospitalLa Jolla	–	–	–	–
Huntington Memorial HospitalPasadena	–	–	–	–
Mercy Medical Ctr MercedMerced	–	–	–	–
Adventist Health BakersfieldBakersfield	–	–	–	–
Good Samaritan HospitalLos Angeles	–	–	–	–
Long Beach Memorial Medical CenterLong Beach	–	–	–	–
John Muir Medical Center - Concord CampusConcord	–	–	–	–
Sutter Auburn Faith HospitalAuburn	–	–	–	–
Scripps Memorial Hospital - EncinitasEncinitas	–	–	–	–
Sutter Davis HospitalDavis	–	–	–	–
Memorial Medical CenterModesto	–	–	–	–
Kaiser Foundation Hospital - West laLos Angeles	–	–	–	–
Mission Hospital Regional Med CenterMission Viejo	–	–	–	–
Fountain Valley Regional Hospital & Medical CenterFountain Valley	–	–	–	–
Eisenhower Memorial HospitalRancho Mirage	–	–	–	–
San Dimas Community HospitalSan Dimas	–	–	–	–
UCI Health-Placentia LindaPlacentia	–	–	–	–
Henry Mayo Newhall Memorial HospitalValencia	–	–	–	–
Cedars-Sinai Medical CenterLos Angeles	–	–	–	–
USC Kenneth Norris Jr Cancer HospitalLos Angeles	–	–	–	–
Kaiser Foundation Hospital - Woodland HillsWoodland Hills	–	–	–	–
San Ramon Regional Medical CtrSan Ramon	–	–	–	–
Kaiser Foundation Hospital-Santa RosaSanta Rosa	–	–	–	–
Providence Tarzana Medical CenterTarzana	–	–	–	–
Shasta Regional Medical CenterRedding	–	–	–	–
Loma Linda University Medical Center-MurrietaMurrieta	–	–	–	–
Temecula Valley HospitalTemecula	–	–	–	–
Children's Hosp of Orange CntyOrange	–	–	–	–

Level 3 ENT Procedures: all states All California hospitals California hospital finances

Lowest and highest allowed amounts in California

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

UCI Health-OrangeOrange, CA	$1,700
University of California San Diego Medical CenterSan Diego, CA	$1,754
Enloe Medical CenterChico, CA	$1,793
Oroville HospitalOroville, CA	$1,875
Community Memorial Hospital - VenturaVentura, CA	$1,875

Highest

UCSF Medical CenterSan Francisco, CA	$2,148
Stanford HospitalPalo Alto, CA	$2,118
Sonora Community HospitalSonora, CA	$1,939
University of California Davis Medical CenterSacramento, CA	$1,901
Oroville HospitalOroville, CA	$1,875

Level 3 ENT Procedures in other states

Connecticut · $1,716 Delaware · $1,530 Massachusetts · $1,622 New Jersey · $1,716 New York · $1,631 Oregon · $1,600 South Dakota · $1,469 Washington · $1,473

Questions

How much does level 3 ent procedures cost in California?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 100 hospitals in California was billed at $7,200 on average, while the average medicare-allowed amount was $1,911, of which Medicare paid $1,521. 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 California, average charges were 3.8 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.

Level 3 ENT Procedures in California