Level 4 ENT Procedures in Missouri
What 50 hospitals in Missouri charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$14,184
Hospital list price billed
Average allowed
$2,633
Medicare's payment + patient's share
Medicare paid
$2,090
Average per service
State rank
#11 of 48
1 = lowest average payment
Hospitals in Missouri billed an average of $14,184 for level 4 ent procedures, about 5.4 times the average medicare-allowed amount of $2,633. That payment is 6% 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 $2,633Billed $14,184
About 19¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 4 ent procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Missouri
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
| Barnes Jewish HospitalSt Louis, MO | $1,892 |
|---|---|
| Barnes-Jewish West County HospitalSt Louis, MO | $2,006 |
| University Hospitals & ClinicsColumbia, MO | $2,647 |
| Lester E Cox Medical CentersSpringfield, MO | $2,707 |
| Mercy Hospital SpringfieldSpringfield, MO | $2,707 |
Highest
| Mosaic Life Care at St JosephSt Joseph, MO | $3,029 |
|---|---|
| St Francis Medical CenterCape Girardeau, MO | $2,946 |
| St John's Mercy Medical CenterSt Louis, MO | $2,865 |
| Phelps County Regional Medical CenterRolla, MO | $2,846 |
| St Louis University HospitalSt Louis, MO | $2,814 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Missouri?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 50 hospitals in Missouri was billed at $14,184 on average, while the average medicare-allowed amount was $2,633, of which Medicare paid $2,090. 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 Missouri, average charges were 5.4 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.