Level 4 ENT Procedures in Oregon
What 22 hospitals in Oregon charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$16,941
Hospital list price billed
Average allowed
$3,354
Medicare's payment + patient's share
Medicare paid
$2,662
Average per service
State rank
#44 of 48
1 = lowest average payment
Hospitals in Oregon billed an average of $16,941 for level 4 ent procedures, about 5.1 times the average medicare-allowed amount of $3,354. That payment is 20% 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 $3,354Billed $16,941
About 20¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 4 ent procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oregon
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
| Three Rivers Community HospitalGrants Pass, OR | $3,176 |
|---|---|
| Samaritan Albany General HospitalAlbany, OR | $3,240 |
| OHSU Hospital and ClinicsPortland, OR | $3,378 |
| Legacy Good Samaritan Medical CenterPortland, OR | $3,378 |
| Bay Area HospitalCoos Bay, OR | $3,518 |
Highest
| Mercy Medical CenterRoseburg, OR | $3,518 |
|---|---|
| Bay Area HospitalCoos Bay, OR | $3,518 |
| Legacy Good Samaritan Medical CenterPortland, OR | $3,378 |
| OHSU Hospital and ClinicsPortland, OR | $3,378 |
| Samaritan Albany General HospitalAlbany, OR | $3,240 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Oregon?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 22 hospitals in Oregon was billed at $16,941 on average, while the average medicare-allowed amount was $3,354, of which Medicare paid $2,662. 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 Oregon, average charges were 5.1 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.