Level 3 ENT Procedures in Oregon
What 15 hospitals in Oregon charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.
Average charge
$6,723
Hospital list price billed
Average allowed
$1,600
Medicare's payment + patient's share
Medicare paid
$1,266
Average per service
State rank
#39 of 44
1 = lowest average payment
Hospitals in Oregon billed an average of $6,723 for level 3 ent procedures, about 4.2 times the average medicare-allowed amount of $1,600. That payment is 15% above 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 $1,600Billed $6,723
About 24¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 3 ent procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 36 | $6,723 | $1,600 | $1,266 |
| Mid-Columbia Medical CenterThe Dalles | – | – | – | – |
| Three Rivers Community HospitalGrants Pass | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| Samaritan Albany General HospitalAlbany | – | – | – | – |
| Legacy Mount Hood Medical CenterGresham | – | – | – | – |
| Silverton Hospital NetworkSilverton | – | – | – | – |
| Sky Lakes Medical CenterKlamath Falls | – | – | – | – |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| Providence Portland Medical CenterPortland | – | – | – | – |
| Providence Milwaukie HospitalMilwaukie | – | – | – | – |
| Legacy Meridian Park Medical CenterTualatin | – | – | – | – |
| Bay Area HospitalCoos Bay | – | – | – | – |
| Sacred Heart Medical Center - RiverbendSpringfield | – | – | – | – |
Level 3 ENT Procedures in other states
Questions
How much does level 3 ent procedures cost in Oregon?
In 2024 Medicare data, level 3 ent procedures (APC 5163) at 15 hospitals in Oregon was billed at $6,723 on average, while the average medicare-allowed amount was $1,600, of which Medicare paid $1,266. 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 Oregon, 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.