Level 3 ENT Procedures in Iowa
What 19 hospitals in Iowa charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.
Average charge
$5,628
Hospital list price billed
Average allowed
$1,352
Medicare's payment + patient's share
Medicare paid
$1,068
Average per service
State rank
#24 of 44
1 = lowest average payment
Hospitals in Iowa billed an average of $5,628 for level 3 ent procedures, about 4.2 times the average medicare-allowed amount of $1,352. 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 $1,352Billed $5,628
About 24¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 3 ent procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Iowa
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
| Mercy Medical Center-Des MoinesDes Moines, IA | $1,201 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $1,341 |
| Mercy Medical Center-North IowaMason City, IA | $1,478 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $1,478 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $1,341 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $1,201 |
Level 3 ENT Procedures in other states
Questions
How much does level 3 ent procedures cost in Iowa?
In 2024 Medicare data, level 3 ent procedures (APC 5163) at 19 hospitals in Iowa was billed at $5,628 on average, while the average medicare-allowed amount was $1,352, of which Medicare paid $1,068. 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 Iowa, average charges were 4.2 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.