facebook tracking Level 4 ENT Procedures cost in Arizona: 25 hospitals compared (APC 5164)

Level 4 ENT Procedures in Arizona

What 25 hospitals in Arizona charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.

APC 5164 Outpatient 2024 Medicare data
Average charge $23,037 Hospital list price billed
Average allowed $3,081 Medicare's payment + patient's share
Medicare paid $2,449 Average per service
State rank #37 of 48 1 = lowest average payment

Hospitals in Arizona billed an average of $23,037 for level 4 ent procedures, about 7.5 times the average medicare-allowed amount of $3,081. That payment is 10% above the U.S. average of $2,798.

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 $3,081Billed $23,037

About 13¢ was paid for every $1 hospitals in Arizona billed for this service.

Arizona hospitals: level 4 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mayo Clinic HospitalPhoenix 54 $23,163 $3,093 $2,455
Scottsdale Healthcare-Shea Medical CenterScottsdale 26 $32,404 $3,140 $2,499
Yuma Regional Medical CenterYuma 20 $16,762 $2,731 $2,166
Banner - University Medical Center PhoenixPhoenix 16 $22,158 $3,140 $2,501
Banner Desert Medical CenterMesa 13 $25,025 $3,140 $2,501
Flagstaff Medical CenterFlagstaff 11 $10,621 $3,362 $2,679
Tucson Medical CenterTucson – – – –
Carondelet St Marys HospitalTucson – – – –
Yavapai Regional Medical CenterPrescott – – – –
John C Lincoln North Mountain HospitalPhoenix – – – –
Valleywise Health Medical CenterPhoenix – – – –
St Joseph's Hospital and Medical CenterPhoenix – – – –
Chandler Regional Medical CenterChandler – – – –
Scottsdale Healthcare-Osborn Medical CenterScottsdale – – – –
University Medical CenterTucson – – – –
Havasu Regional Medical CenterLake Havasu City – – – –
Northwest Medical CenterTucson – – – –
Banner Thunderbird Medical CenterGlendale – – – –
John C Lincoln Deer Valley HospitalPhoenix – – – –
Banner del E Webb Medical CenterSun City West – – – –
Western Arizona Regional Medical CtrBullhead City – – – –
Banner-University Medical Center South CampusTucson – – – –
Valley View Medical CenterFort Mohave – – – –
Mercy Gilbert Medical CenterGilbert – – – –
Banner Gateway Medical CenterGilbert – – – –
Level 4 ENT Procedures: all states All Arizona hospitals Arizona hospital finances
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Lowest and highest allowed amounts in Arizona

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 4 ENT Procedures in other states

Colorado · $3,065 Massachusetts · $3,020 Montana · $3,090 Nevada · $2,998 New Mexico · $3,029 New York · $3,023 North Dakota · $3,091 South Dakota · $2,990

Questions

How much does level 4 ent procedures cost in Arizona?

In 2024 Medicare data, level 4 ent procedures (APC 5164) at 25 hospitals in Arizona was billed at $23,037 on average, while the average medicare-allowed amount was $3,081, of which Medicare paid $2,449. 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 Arizona, average charges were 7.5 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.