facebook tracking Level 3 ENT Procedures cost in Georgia: 41 hospitals compared (APC 5163)

Level 3 ENT Procedures in Georgia

What 41 hospitals in Georgia charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $10,636 Hospital list price billed
Average allowed $1,354 Medicare's payment + patient's share
Medicare paid $1,074 Average per service
State rank #25 of 44 1 = lowest average payment

Hospitals in Georgia billed an average of $10,636 for level 3 ent procedures, about 7.9 times the average medicare-allowed amount of $1,354. That payment is 3% 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 $1,354Billed $10,636

About 13¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 3 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Emory University Hospital MidtownAtlanta 18 $11,812 $1,353 $1,065
St Francis Hospital, INCColumbus 16 $5,299 $1,249 $992
Piedmont Newnan Hospital, INCNewnan 15 $18,319 $1,415 $1,128
Southeastern Regional Medical Center, INCNewnan 13 $6,712 $1,415 $1,128
Hamilton Medical CenterDalton – – – –
Upson Regional Medical CenterThomaston – – – –
St Mary's HospitalAthens – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Northside Hospital CherokeeCanton – – – –
Emory University HospitalAtlanta – – – –
Tanner Medical Center - CarrolltonCarrollton – – – –
Tanner Medical Center Villa RicaVilla Rica – – – –
West Georgia Medical CenterLagrange – – – –
Newton Medical CenterCovington – – – –
Candler HospitalSavannah – – – –
Southeast Georgia Reg Med CtrBrunswick – – – –
Northeast Georgia Medical Center, INCGainesville – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Kennestone HospitalMarietta – – – –
Wellstar Paulding HospitalDallas – – – –
Walton Regional Medical CenterMonroe – – – –
Murray Medical CenterChatsworth – – – –
Union General HospitalBlairsville – – – –
Floyd Medical CenterRome – – – –
Piedmont Columbus Regional MidtownColumbus – – – –
Athens Regional Medical CenterAthens – – – –
East Georgia Regional Medical CenterStatesboro – – – –
Grady Memorial HospitalAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Gwinnett Medical CenterLawrenceville – – – –
Colquitt Reg Medical CenterMoultrie – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
Fairview Park HospitalDublin – – – –
Wellstar Cobb HospitalAustell – – – –
Northside HospitalAtlanta – – – –
Wellstar Douglas HospitalDouglasville – – – –
Emory Eastside Medical CenterSnellville – – – –
Piedmont Mountainside Hospital INCJasper – – – –
Northside Hospital DuluthDuluth – – – –
Blue Ridge Medical CenterBlue Ridge – – – –
Children's Healthcare of Atlanta at Scottish RiteAtlanta – – – –
Level 3 ENT Procedures: all states All Georgia hospitals Georgia hospital finances
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Lowest and highest allowed amounts in Georgia

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

Level 3 ENT Procedures in other states

Florida · $1,347 Indiana · $1,378 Iowa · $1,352 Michigan · $1,334 Missouri · $1,330 New Mexico · $1,358 Pennsylvania · $1,351 Utah · $1,366

Questions

How much does level 3 ent procedures cost in Georgia?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 41 hospitals in Georgia was billed at $10,636 on average, while the average medicare-allowed amount was $1,354, of which Medicare paid $1,074. 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 Georgia, average charges were 7.9 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.