Level 4 ENT Procedures in Oklahoma
What 32 hospitals in Oklahoma charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$23,979
Hospital list price billed
Average allowed
$2,708
Medicare's payment + patient's share
Medicare paid
$2,142
Average per service
State rank
#17 of 48
1 = lowest average payment
Hospitals in Oklahoma billed an average of $23,979 for level 4 ent procedures, about 8.9 times the average medicare-allowed amount of $2,708. That payment is 3% 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 $2,708Billed $23,979
About 11¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 4 ent procedures
Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oklahoma
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
| Saint Francis Hospital, INCTulsa, OK | $2,664 |
|---|---|
| O U Medical CenterOklahoma City, OK | $2,669 |
| St Anthony HospitalOklahoma City, OK | $2,671 |
| Tulsa Spine & Specialty HospitalTulsa, OK | $2,675 |
| Hillcrest Hospital SouthTulsa, OK | $2,774 |
Highest
| Stillwater Medical CenterStillwater, OK | $2,828 |
|---|---|
| Mercy Health Center, INCOklahoma City, OK | $2,774 |
| Hillcrest Hospital SouthTulsa, OK | $2,774 |
| Tulsa Spine & Specialty HospitalTulsa, OK | $2,675 |
| St Anthony HospitalOklahoma City, OK | $2,671 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Oklahoma?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 32 hospitals in Oklahoma was billed at $23,979 on average, while the average medicare-allowed amount was $2,708, of which Medicare paid $2,142. 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 Oklahoma, average charges were 8.9 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.