Level 4 ENT Procedures in New Hampshire
What 11 hospitals in New Hampshire charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$3,753
Hospital list price billed
Average allowed
$820
Medicare's payment + patient's share
Medicare paid
$652
Average per service
State rank
#1 of 48
1 = lowest average payment
Hospitals in New Hampshire billed an average of $3,753 for level 4 ent procedures, about 4.6 times the average medicare-allowed amount of $820. That payment is 71% 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 $820Billed $3,753
About 22¢ was paid for every $1 hospitals in New Hampshire billed for this service.
New Hampshire hospitals: level 4 ent procedures
Every New Hampshire hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mary Hitchcock Mem HospitalLebanon | 459 | $3,452 | $760 | $605 |
| Exeter HospitalExeter | 12 | $15,290 | $3,087 | $2,459 |
| Concord Hospital- LaconiaLaconia | – | – | – | – |
| Elliot HospitalManchester | – | – | – | – |
| Frisbie Memorial HospitalRochester | – | – | – | – |
| Parkland Medical CenterDerry | – | – | – | – |
| Wentworth-Douglass HospitalDover | – | – | – | – |
| Cheshire Medical CenterKeene | – | – | – | – |
| Southern Nh Medical CenterNashua | – | – | – | – |
| Portsmouth Regional HospitalPortsmouth | – | – | – | – |
| Catholic Medical CenterManchester | – | – | – | – |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in New Hampshire?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 11 hospitals in New Hampshire was billed at $3,753 on average, while the average medicare-allowed amount was $820, of which Medicare paid $652. 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 New Hampshire, average charges were 4.6 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.