Level 4 ENT Procedures in Nevada
What 9 hospitals in Nevada charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$21,238
Hospital list price billed
Average allowed
$2,998
Medicare's payment + patient's share
Medicare paid
$2,389
Average per service
State rank
#32 of 48
1 = lowest average payment
Hospitals in Nevada billed an average of $21,238 for level 4 ent procedures, about 7.1 times the average medicare-allowed amount of $2,998. That payment is 7% 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 $2,998Billed $21,238
About 14¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: level 4 ent procedures
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Renown Regional Medical CenterReno | 23 | $21,238 | $2,998 | $2,389 |
| Sunrise Hospital and Medical CenterLas Vegas | – | – | – | – |
| University Medical CenterLas Vegas | – | – | – | – |
| Northeastern Nevada Regional HospitalElko | – | – | – | – |
| Saint Mary's Regional Medical CenterReno | – | – | – | – |
| Carson Tahoe HospitalCarson City | – | – | – | – |
| Northern Nevada Medical CenterSparks | – | – | – | – |
| Saint Rose Dominican Hospital - Siena CampusHenderson | – | – | – | – |
| Southern Hills Hospital and Medical CenterLas Vegas | – | – | – | – |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Nevada?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 9 hospitals in Nevada was billed at $21,238 on average, while the average medicare-allowed amount was $2,998, of which Medicare paid $2,389. 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 Nevada, average charges were 7.1 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.