Level 4 ENT Procedures in Arkansas
What 24 hospitals in Arkansas charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$11,734
Hospital list price billed
Average allowed
$2,803
Medicare's payment + patient's share
Medicare paid
$2,227
Average per service
State rank
#21 of 48
1 = lowest average payment
Hospitals in Arkansas billed an average of $11,734 for level 4 ent procedures, about 4.2 times the average medicare-allowed amount of $2,803. That payment is about the same as 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 $2,803Billed $11,734
About 24¢ was paid for every $1 hospitals in Arkansas billed for this service.
Arkansas hospitals: level 4 ent procedures
Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Arkansas
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
| Northwest Medical Center-SpringdaleSpringdale, AR | $2,535 |
|---|---|
| Mercy Hospital Fort SmithFort Smith, AR | $2,738 |
| University of Arkansas Medical SciencesLittle Rock, AR | $2,760 |
| Baxter Regional Medical CenterMountain Home, AR | $2,909 |
| White County Medical CenterSearcy, AR | $2,931 |
Highest
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | $2,957 |
|---|---|
| White County Medical CenterSearcy, AR | $2,931 |
| Baxter Regional Medical CenterMountain Home, AR | $2,909 |
| University of Arkansas Medical SciencesLittle Rock, AR | $2,760 |
| Mercy Hospital Fort SmithFort Smith, AR | $2,738 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Arkansas?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 24 hospitals in Arkansas was billed at $11,734 on average, while the average medicare-allowed amount was $2,803, of which Medicare paid $2,227. 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 Arkansas, 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.