facebook tracking Level 3 ENT Procedures cost in Illinois: 57 hospitals compared (APC 5163)

Level 3 ENT Procedures in Illinois

What 57 hospitals in Illinois charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $6,819 Hospital list price billed
Average allowed $1,243 Medicare's payment + patient's share
Medicare paid $984 Average per service
State rank #12 of 44 1 = lowest average payment

Hospitals in Illinois billed an average of $6,819 for level 3 ent procedures, about 5.5 times the average medicare-allowed amount of $1,243. That payment is 11% 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 $1,243Billed $6,819

About 18¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 3 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Loyola University Medical CenterMaywood 47 $4,459 $1,483 $1,181
Rush University Medical CenterChicago 40 $5,551 $1,283 $1,020
The University of Chicago Medical CenterChicago 37 $14,114 $1,451 $1,148
Blessing HospitalQuincy 28 $3,603 $766 $611
Northwest Community HospitalArlington Heights 26 $4,499 $1,367 $1,063
Carle Foundation HospitalUrbana 25 $6,548 $733 $575
Crossroads Community HospitalMt Vernon 14 $10,315 $1,409 $1,123
Graham Hospital AssociationCanton – – – –
Alton Memorial HospitalAlton – – – –
Provena St Joseph Medical CenterJoliet – – – –
Evanston HospitalEvanston – – – –
Herrin HospitalHerrin – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
Copley Memorial HospitalAurora – – – –
Sherman HospitalElgin – – – –
St Anthonys Memorial HospitalEffingham – – – –
Cgh Medical CenterSterling – – – –
Good Samaritan Regional Hlth CenterMt Vernon – – – –
Advocate Trinity HospitalChicago – – – –
St Johns HospitalSpringfield – – – –
Adventist la Grange Memorial HospitalLa Grange – – – –
Saint Francis Medical CenterPeoria – – – –
Touchette Regional HospitalEast St Louis – – – –
Mc Donough District HospitalMacomb – – – –
Midwestern Region Med CenterZion – – – –
Swedish Covenant HospitalChicago – – – –
Thorek Memorial HospitalChicago – – – –
Northwestern Medicine McHenryMcHenry – – – –
Resurrection Medical CenterChicago – – – –
Hinsdale HospitalHinsdale – – – –
John H Stroger Jr HospitalChicago – – – –
Gateway Regional Medical CenterGranite City – – – –
Lake Forest HospitalLake Forest – – – –
Decatur Memorial HospitalDecatur – – – –
St Josephs HospitalBreese – – – –
Memorial Medical CenterSpringfield – – – –
University of Illinois Hospital and ClinicsChicago – – – –
Provena St Marys HospitalKankakee – – – –
Memorial Hospital of CarbondaleCarbondale – – – –
Memorial HospitalBelleville – – – –
Riverside Medical CenterKankakee – – – –
Sarah Bush Lincoln Health CenterMattoon – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Condell Medical CenterLibertyville – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Silver Cross HospitalJoliet – – – –
Advocate Lutheran General HospitalPark Ridge – – – –
Swedish American HospitalRockford – – – –
Edward HospitalNaperville – – – –
Saint Anthony Medical CenterRockford – – – –
Javon Bea HospitalRockford – – – –
Central Dupage HospitalWinfield – – – –
Trinity Rock IslandRock Island – – – –
Northwestern Memorial HospitalChicago – – – –
Advocate Good Samaritan HospitalDowners Grove – – – –
Advocate Good Shepherd HospitalBarrington – – – –
Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake – – – –
Level 3 ENT Procedures: all states All Illinois hospitals Illinois hospital finances
Advertisement

Lowest and highest allowed amounts in Illinois

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

Carle Foundation HospitalUrbana, IL$733
Blessing HospitalQuincy, IL$766
Rush University Medical CenterChicago, IL$1,283
Northwest Community HospitalArlington Heights, IL$1,367
Crossroads Community HospitalMt Vernon, IL$1,409

Highest

Loyola University Medical CenterMaywood, IL$1,483
The University of Chicago Medical CenterChicago, IL$1,451
Crossroads Community HospitalMt Vernon, IL$1,409
Northwest Community HospitalArlington Heights, IL$1,367
Rush University Medical CenterChicago, IL$1,283

Level 3 ENT Procedures in other states

Alabama · $1,273 Idaho · $1,260 Kentucky · $1,262 Ohio · $1,223 Oklahoma · $1,299 Tennessee · $1,203 Virginia · $1,192 West Virginia · $1,241

Questions

How much does level 3 ent procedures cost in Illinois?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 57 hospitals in Illinois was billed at $6,819 on average, while the average medicare-allowed amount was $1,243, of which Medicare paid $984. 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 Illinois, average charges were 5.5 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.