facebook tracking Level 4 ENT Procedures cost in Mississippi: 23 hospitals compared (APC 5164)

Level 4 ENT Procedures in Mississippi

What 23 hospitals in Mississippi charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.

APC 5164 Outpatient 2024 Medicare data
Average charge $6,340 Hospital list price billed
Average allowed $878 Medicare's payment + patient's share
Medicare paid $699 Average per service
State rank #2 of 48 1 = lowest average payment

Hospitals in Mississippi billed an average of $6,340 for level 4 ent procedures, about 7.2 times the average medicare-allowed amount of $878. That payment is 69% 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 $878Billed $6,340

About 14¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 4 ent procedures

Every Mississippi 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 Mississippi Med CenterJackson 111 $4,132 $583 $464
Mississippi Baptist Medical CenterJackson 18 $19,957 $2,695 $2,147
North Mississippi Medical CenterTupelo – – – –
Memorial Hospital at GulfportGulfport – – – –
Gilmore Memorial HospitalAmory – – – –
Singing River HospitalPascagoula – – – –
St Dominic-Jackson Memorial HospitalJackson – – – –
Baptist Memorial Hospital-Oktibbeha CountyStarkville – – – –
King's Daughters Medical Center-BrookhavenBrookhaven – – – –
South Central Regional Med CtrLaurel – – – –
Rush Foundation HospitalMeridian – – – –
Forrest General HospitalHattiesburg – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Greenwood Leflore HospitalGreenwood – – – –
Baptist Mem Hosp/Golden Triangle INCColumbus – – – –
Anderson Regional Medical CenterMeridian – – – –
Highland Community HospitalPicayune – – – –
Singing River GulfportGulfport – – – –
River Oaks HospitalFlowood – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
Hancock Medical CenterBay St Louis – – – –
Methodist Healthcare - Olive Branch HospitalOlive Branch – – – –
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Level 4 ENT Procedures in other states

Questions

How much does level 4 ent procedures cost in Mississippi?

In 2024 Medicare data, level 4 ent procedures (APC 5164) at 23 hospitals in Mississippi was billed at $6,340 on average, while the average medicare-allowed amount was $878, of which Medicare paid $699. 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 Mississippi, average charges were 7.2 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.