facebook tracking Level 3 ENT Procedures cost in Mississippi: 19 hospitals compared (APC 5163)

Level 3 ENT Procedures in Mississippi

What 19 hospitals in Mississippi charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $6,632 Hospital list price billed
Average allowed $1,086 Medicare's payment + patient's share
Medicare paid $865 Average per service
State rank #5 of 44 1 = lowest average payment

Hospitals in Mississippi billed an average of $6,632 for level 3 ent procedures, about 6.1 times the average medicare-allowed amount of $1,086. That payment is 22% 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 $1,086Billed $6,632

About 16¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 3 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Rush Foundation HospitalMeridian 36 $5,882 $1,262 $1,004
Memorial Hospital at GulfportGulfport 11 $9,084 $512 $408
University of Mississippi Med CenterJackson – – – –
Baptist Memorial Hospital Union CountyNew Albany – – – –
Magnolia Regional Health CenterCorinth – – – –
Merit Health River RegionVicksburg – – – –
Singing River HospitalPascagoula – – – –
St Dominic-Jackson Memorial HospitalJackson – – – –
Baptist Memorial Hospital-Oktibbeha CountyStarkville – – – –
South Central Regional Med CtrLaurel – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Greenwood Leflore HospitalGreenwood – – – –
Baptist Mem Hosp/Golden Triangle INCColumbus – – – –
Mississippi Baptist Medical CenterJackson – – – –
Anderson Regional Medical CenterMeridian – – – –
Highland Community HospitalPicayune – – – –
River Oaks HospitalFlowood – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
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Level 3 ENT Procedures in other states

Questions

How much does level 3 ent procedures cost in Mississippi?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 19 hospitals in Mississippi was billed at $6,632 on average, while the average medicare-allowed amount was $1,086, of which Medicare paid $865. 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 Mississippi, average charges were 6.1 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.