Level 4 ENT Procedures in Indiana
What 46 hospitals in Indiana charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$21,399
Hospital list price billed
Average allowed
$2,875
Medicare's payment + patient's share
Medicare paid
$2,273
Average per service
State rank
#26 of 48
1 = lowest average payment
Hospitals in Indiana billed an average of $21,399 for level 4 ent procedures, about 7.4 times the average medicare-allowed amount of $2,875. That payment is 3% 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 $2,875Billed $21,399
About 13¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 4 ent procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Indiana
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
| St Vincent Hospital & Health ServicesIndianapolis, IN | $2,661 |
|---|---|
| Elkhart General HospitalElkhart, IN | $2,758 |
| Union Hospital INCTerre Haute, IN | $2,790 |
| Clarian Health PartnersIndianapolis, IN | $2,866 |
| St Mary Medical Center INCHobart, IN | $2,867 |
Highest
| Reid Hosp & Hlth Care ServicesRichmond, IN | $3,074 |
|---|---|
| Community HospitalMunster, IN | $2,979 |
| Hendricks Regional HealthDanville, IN | $2,908 |
| Deaconess Hospital INCEvansville, IN | $2,870 |
| St Mary's Medical Center of Evansville INCEvansville, IN | $2,870 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Indiana?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 46 hospitals in Indiana was billed at $21,399 on average, while the average medicare-allowed amount was $2,875, of which Medicare paid $2,273. 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 Indiana, average charges were 7.4 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.