facebook tracking Level 4 ENT Procedures cost in Kansas: 22 hospitals compared (APC 5164)

Level 4 ENT Procedures in Kansas

What 22 hospitals in Kansas charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.

APC 5164 Outpatient 2024 Medicare data
Average charge $22,855 Hospital list price billed
Average allowed $2,598 Medicare's payment + patient's share
Medicare paid $2,050 Average per service
State rank #10 of 48 1 = lowest average payment

Hospitals in Kansas billed an average of $22,855 for level 4 ent procedures, about 8.8 times the average medicare-allowed amount of $2,598. That payment is 7% below 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 $2,598Billed $22,855

About 11¢ was paid for every $1 hospitals in Kansas billed for this service.

Kansas hospitals: level 4 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Kansas HospitalKansas City 34 $15,333 $2,075 $1,640
Stormont-Vail HealthcareTopeka 33 $12,189 $2,727 $2,144
Wesley Medical CenterWichita 24 $64,333 $2,749 $2,159
Olathe Medical CenterOlathe 16 $10,142 $2,812 $2,240
Hays Medical CenterHays 13 $9,339 $2,777 $2,176
Promise Regional Medical Center Hutchinson INCHutchinson 12 $22,141 $2,944 $2,345
Mercy Hospital PittsburgPittsburg – – – –
Salina Regional Health CenterSalina – – – –
St Francis Health CenterTopeka – – – –
St Catherine HospitalGarden City – – – –
Southwest Medical CenterLiberal – – – –
Shawnee Mission Medical CenterOverland Park – – – –
McPherson HospitalMcPherson – – – –
Via Christi Hospitals Wichita INCWichita – – – –
Lawrence Memorial HospitalLawrence – – – –
Overland Park Regional CenterShawnee Mission – – – –
Saint Luke's South HospitalOverland Park – – – –
Salina Surgical HospitalSalina – – – –
Manhattan Surgical Hospital LLCManhattan – – – –
Ascentist HospitalLeawood – – – –
Kansas Medical Center LLCAndover – – – –
Sck HealthArkansas City – – – –
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Lowest and highest allowed amounts in Kansas

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 of Kansas HospitalKansas City, KS$2,075
Stormont-Vail HealthcareTopeka, KS$2,727
Wesley Medical CenterWichita, KS$2,749
Hays Medical CenterHays, KS$2,777
Olathe Medical CenterOlathe, KS$2,812

Highest

Level 4 ENT Procedures in other states

Questions

How much does level 4 ent procedures cost in Kansas?

In 2024 Medicare data, level 4 ent procedures (APC 5164) at 22 hospitals in Kansas was billed at $22,855 on average, while the average medicare-allowed amount was $2,598, of which Medicare paid $2,050. 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 Kansas, average charges were 8.8 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.