Level 3 ENT Procedures in Missouri
What 35 hospitals in Missouri charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.
Average charge
$5,319
Hospital list price billed
Average allowed
$1,330
Medicare's payment + patient's share
Medicare paid
$1,058
Average per service
State rank
#20 of 44
1 = lowest average payment
Hospitals in Missouri billed an average of $5,319 for level 3 ent procedures, about 4.0 times the average medicare-allowed amount of $1,330. That payment is 5% 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 $1,330Billed $5,319
About 25¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 ent procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Missouri
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
| University Hospitals & ClinicsColumbia, MO | $1,233 |
|---|---|
| Freeman Health System - Freeman WestJoplin, MO | $1,282 |
| Mosaic Life Care at St JosephSt Joseph, MO | $1,435 |
| Phelps County Regional Medical CenterRolla, MO | $1,454 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $1,454 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $1,435 |
| Freeman Health System - Freeman WestJoplin, MO | $1,282 |
| University Hospitals & ClinicsColumbia, MO | $1,233 |
Level 3 ENT Procedures in other states
Questions
How much does level 3 ent procedures cost in Missouri?
In 2024 Medicare data, level 3 ent procedures (APC 5163) at 35 hospitals in Missouri was billed at $5,319 on average, while the average medicare-allowed amount was $1,330, of which Medicare paid $1,058. 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 Missouri, average charges were 4.0 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.