facebook tracking Level 3 ENT Procedures cost in Indiana: 39 hospitals compared (APC 5163)

Level 3 ENT Procedures in Indiana

What 39 hospitals in Indiana charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $14,134 Hospital list price billed
Average allowed $1,378 Medicare's payment + patient's share
Medicare paid $1,092 Average per service
State rank #28 of 44 1 = lowest average payment

Hospitals in Indiana billed an average of $14,134 for level 3 ent procedures, about 10.3 times the average medicare-allowed amount of $1,378. That payment is 1% 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 $1,378Billed $14,134

About 10¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 3 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St Mary's Medical Center of Evansville INCEvansville 24 $14,257 $1,359 $1,083
Union Hospital INCTerre Haute 20 $7,408 $1,377 $1,098
La Porte Regional Health SystLa Porte 18 $35,009 $1,360 $1,067
Community HospitalMunster 16 $10,791 $1,434 $1,141
Clarian Health PartnersIndianapolis 14 $9,336 $1,390 $1,080
Witham Health ServicesLebanon 14 $7,675 $1,377 $1,098
Good Samaritan HospitalVincennes 13 $11,589 $1,359 $1,083
Johnson Memorial HospitalFranklin – – – –
Hendricks Regional HealthDanville – – – –
St Catherine Hospital INCEast Chicago – – – –
Clark Memorial HospitalJeffersonville – – – –
Marion General HospitalMarion – – – –
Saint Joseph Reg Medical CtrSouth Bend – – – –
Elkhart General HospitalElkhart – – – –
Parkview HospitalFort Wayne – – – –
St Mary Medical Center INCHobart – – – –
Porter, Valparaiso HospitalValparaiso – – – –
Reid Hosp & Hlth Care ServicesRichmond – – – –
Riverview HospitalNoblesville – – – –
Schneck Medical CenterSeymour – – – –
King's Daughters' Hospital and Health Services,TheMadison – – – –
Memorial HospitalLogansport – – – –
Deaconess Hospital INCEvansville – – – –
St Vincent Hospital & Health ServicesIndianapolis – – – –
Dearborn County HospitalLawrenceburg – – – –
Saint John's Health SystemAnderson – – – –
Ball Memorial Hospital INCMuncie – – – –
Franciscan St Margaret Health - DyerDyer – – – –
Major HospitalShelbyville – – – –
Franciscan Health LafayetteLafayette – – – –
Community Hospital of Anderson and Madison CountyAnderson – – – –
Memorial Hospital and Health Care CenterJasper – – – –
Franciscan St Anthony Health - Crown PointCrown Point – – – –
Indiana University Health West HospitalAvon – – – –
Indiana University Health North HospitalCarmel – – – –
Franciscan Health IndianapolisIndianapolis – – – –
Physicians' Medical Center LLCNew Albany – – – –
Indiana University Health Arnett HospitalLafayette – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
Level 3 ENT Procedures: all states All Indiana hospitals Indiana hospital finances
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Lowest and highest allowed amounts in Indiana

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

Good Samaritan HospitalVincennes, IN$1,359
St Mary's Medical Center of Evansville INCEvansville, IN$1,359
La Porte Regional Health SystLa Porte, IN$1,360
Union Hospital INCTerre Haute, IN$1,377
Witham Health ServicesLebanon, IN$1,377

Highest

Community HospitalMunster, IN$1,434
Clarian Health PartnersIndianapolis, IN$1,390
Union Hospital INCTerre Haute, IN$1,377
Witham Health ServicesLebanon, IN$1,377
La Porte Regional Health SystLa Porte, IN$1,360

Level 3 ENT Procedures in other states

Florida · $1,347 Georgia · $1,354 Iowa · $1,352 Maine · $1,393 New Mexico · $1,358 Pennsylvania · $1,351 Texas · $1,383 Utah · $1,366

Questions

How much does level 3 ent procedures cost in Indiana?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 39 hospitals in Indiana was billed at $14,134 on average, while the average medicare-allowed amount was $1,378, of which Medicare paid $1,092. 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 Indiana, average charges were 10.3 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.