Level 3 ENT Procedures in Idaho
What 10 hospitals in Idaho charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.
Average charge
$1,446
Hospital list price billed
Average allowed
$1,260
Medicare's payment + patient's share
Medicare paid
$1,001
Average per service
State rank
#13 of 44
1 = lowest average payment
Hospitals in Idaho billed an average of $1,446 for level 3 ent procedures, about 1.1 times the average medicare-allowed amount of $1,260. That payment is 10% 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 $1,260Billed $1,446
About 87¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 3 ent procedures
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mountain View HospitalIdaho Falls | 22 | $1,171 | $1,148 | $915 |
| Northwest Specialty HospitalPost Falls | 18 | $1,782 | $1,397 | $1,107 |
| St Lukes Magic Valley RMCTwin Falls | – | – | – | – |
| St Lukes Regional Medical CenterBoise | – | – | – | – |
| St Alphonsus Regional Medical CenterBoise | – | – | – | – |
| Saint Alphonsus Medical Center - NampaNampa | – | – | – | – |
| Eastern Idaho Regional Medical CenterIdaho Falls | – | – | – | – |
| Portneuf Medical CenterPocatello | – | – | – | – |
| Kootenai Medical CenterCoeur D'alene | – | – | – | – |
| Treasure Valley HospitalBoise | – | – | – | – |
Level 3 ENT Procedures in other states
Questions
How much does level 3 ent procedures cost in Idaho?
In 2024 Medicare data, level 3 ent procedures (APC 5163) at 10 hospitals in Idaho was billed at $1,446 on average, while the average medicare-allowed amount was $1,260, of which Medicare paid $1,001. 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 Idaho, average charges were 1.1 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.