facebook tracking Level 3 ENT Procedures cost in Louisiana: 35 hospitals compared (APC 5163)

Level 3 ENT Procedures in Louisiana

What 35 hospitals in Louisiana charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $11,275 Hospital list price billed
Average allowed $1,159 Medicare's payment + patient's share
Medicare paid $902 Average per service
State rank #7 of 44 1 = lowest average payment

Hospitals in Louisiana billed an average of $11,275 for level 3 ent procedures, about 9.7 times the average medicare-allowed amount of $1,159. That payment is 17% 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 $1,159Billed $11,275

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

Louisiana hospitals: level 3 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
CHRISTUS Central Louisiana Surgical HospitalAlexandria 30 $14,223 $1,145 $877
Lafayette Surgical Specialty HospitalLafayette 18 $6,496 $1,268 $1,010
LSU Medical Center-Univ HospShreveport 17 $10,369 $1,179 $921
Our Lady of the Lake Regional Medical CenterBaton Rouge 15 $16,099 $1,221 $959
Ochsner Foundation HospitalNew Orleans 12 $12,795 $994 $774
St Francis Medical CenterMonroe 11 $4,214 $1,084 $827
Lafayette General Medical CenterLafayette – – – –
University Medical Center New OrleansNew Orleans – – – –
West Calcasieu Cameron HospitalSulphur – – – –
North Oaks Medical CenterHammond – – – –
Opelousas General Health SystemOpelousas – – – –
CHRISTUS St Frances Cabrini HospitalAlexandria – – – –
Rapides Regional Medical CenterAlexandria – – – –
West Jefferson Medical CenterMarrero – – – –
Slidell Memorial HospitalSlidell – – – –
CHRISTUS Schumpert Health SystemShreveport – – – –
St Tammany Parish HospitalCovington – – – –
Touro InfirmaryNew Orleans – – – –
Jennings American Legion HospitalJennings – – – –
Iberia General Hospital and Medical CenterNew Iberia – – – –
Lake Charles Memorial HospitalLake Charles – – – –
Baton Rouge General Medical CenterBaton Rouge – – – –
Northern Louisiana Medical CenterRuston – – – –
Our Lady of Lourdes Regional Medical Center, INCLafayette – – – –
Willis Knighton Medical CenterShreveport – – – –
Minden Medical CenterMinden – – – –
Tulane Medical CenterNew Orleans – – – –
CHRISTUS Ochsner Lake Area HospitalLake Charles – – – –
Ochsner Medical Center-Baton RougeBaton Rouge – – – –
Monroe Surgical HospitalMonroe – – – –
Surgical Specialty Center of Baton RougeBaton Rouge – – – –
Park Place Surgical HospitalLafayette – – – –
Southern Surgical HospitalSlidell – – – –
Omega Hospital, LLCMetairie – – – –
Acadian Medical CenterEunice – – – –
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Lowest and highest allowed amounts in Louisiana

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

Questions

How much does level 3 ent procedures cost in Louisiana?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 35 hospitals in Louisiana was billed at $11,275 on average, while the average medicare-allowed amount was $1,159, of which Medicare paid $902. 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 Louisiana, average charges were 9.7 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.