facebook tracking Level 4 ENT Procedures cost in Texas: 135 hospitals compared (APC 5164)

Level 4 ENT Procedures in Texas

What 135 hospitals in Texas charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.

APC 5164 Outpatient 2024 Medicare data
Average charge $27,897 Hospital list price billed
Average allowed $2,859 Medicare's payment + patient's share
Medicare paid $2,270 Average per service
State rank #24 of 48 1 = lowest average payment

Hospitals in Texas billed an average of $27,897 for level 4 ent procedures, about 9.8 times the average medicare-allowed amount of $2,859. That payment is 2% 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 $2,859Billed $27,897

About 10¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 4 ent procedures

Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Tx M D Anderson CtrHouston 120 $19,026 $2,879 $2,289
Conroe Regional Medical CenterConroe 68 $53,773 $2,985 $2,376
Baylor All Saints Medical Center at FwFort Worth 46 $18,567 $2,907 $2,316
Trinity Mother Frances SystTyler 42 $32,512 $2,661 $2,120
Scott & White Memorial HospitalTemple 32 $12,581 $2,870 $2,268
UT Southwestern University HospitalDallas 26 $16,292 $2,897 $2,308
Methodist Hospital,TheHouston 25 $36,667 $2,890 $2,283
Longview Regional Medical CenterLongview 17 $53,978 $2,864 $2,282
Texas Institute for Surgery at Presbyterian HospitDallas 16 $14,575 $2,753 $2,164
Scott & White Hospital-Round RockRound Rock 16 $11,082 $2,699 $2,117
Good Shepherd Medical Center MarshallMarshall 15 $28,589 $2,864 $2,282
Seton Medical Center AustinAustin 15 $33,289 $2,834 $2,245
Hillcrest Baptist Med CenterWaco 15 $10,505 $2,744 $2,155
Memorial Hermann Texas Medical CenterHouston 14 $61,729 $2,985 $2,379
Mem Hermann Southwest HospHouston 14 $30,276 $2,985 $2,379
Quail Creek Surgical HospitalAmarillo 14 $16,578 $2,794 $2,226
University Medical CenterLubbock 13 $31,186 $2,597 $2,029
Baylor University Medical CenterDallas 12 $18,068 $2,847 $2,268
Houston Physicians' HospitalWebster 12 $36,040 $2,985 $2,379
St Joseph Regional Health CenterBryan 11 $40,410 $2,804 $2,228
Jps Health NetworkFort Worth 11 $16,671 $2,907 $2,299
East Texas Medical CenterTyler 11 $38,128 $2,591 $2,023
Navarro Regional HospitalCorsicana 11 $29,225 $2,898 $2,303
Baylor Scott & White Medical Center- College StatiCollege Station 11 $10,519 $2,985 $2,379
Providence Memorial HospitalEl Paso – – – –
Sid Peterson Memorial HospitalKerrville – – – –
United Regional Hlth Care SystWichita Falls – – – –
Parkland Health and Hospital SystemDallas – – – –
University of Texas Medical Branch GalGalveston – – – –
University Medical Center of El PasoEl Paso – – – –
Laredo Medical CenterLaredo – – – –
Valley Baptist Medical CenterHarlingen – – – –
CHRISTUS HospitalBeaumont – – – –
Covenant Medical CenterLubbock – – – –
Providence Health CenterWaco – – – –
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi – – – –
Methodist Dallas Medical CenterDallas – – – –
Baptist Medical CenterSan Antonio – – – –
North Hills HospitalNorth Richland Hills – – – –
Guadalupe Regional Medical CenterSeguin – – – –
Las Palmas Medical CenterEl Paso – – – –
University Medical Center at BrackenridgeAustin – – – –
Medical Center HospitalOdessa – – – –
Texas Health Harris Methodist Fort WorthFort Worth – – – –
Detar Hospital NavarroVictoria – – – –
Adventhealth Central TexasKilleen – – – –
St Lukes Episcopal HospitalHouston – – – –
East Texas Medical Center JacksonvilleJacksonville – – – –
Paris Regional Medical CenterParis – – – –
Weatherford Regional Medical CenterWeatherford – – – –
CHI St Lukes Health Memorial LufkinLufkin – – – –
University Health SystemSan Antonio – – – –
Hendrick Health SystemAbilene – – – –
Bsa HospitalAmarillo – – – –
CHRISTUS Santa Rosa HospitalSan Antonio – – – –
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos – – – –
Harris County Hospital DistrictHouston – – – –
Texoma Healthcare SystemDenison – – – –
Mem Hermann Baptist HospitalBeaumont – – – –
Hunt Regional Medical CenterGreenville – – – –
Methodist HospitalSan Antonio – – – –
East Texas Medical Center AthensAthens – – – –
Mary Shiels HospitalDallas – – – –
Houston Methodist Baytown HospitalBaytown – – – –
St Davids HospitalAustin – – – –
Glen Rose Medical CenterGlen Rose – – – –
Texas Health Presbyterian Hospital DallasDallas – – – –
Woodland Heights Medical CenterLufkin – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
The Medical Center of Southeast TexasPort Arthur – – – –
Baylor Regional Medical Center at GrapevineGrapevine – – – –
Shannon Medical CenterSan Angelo – – – –
Hill Country Memorial HospitalFredericksburg – – – –
Mem Hermann Mem City HospHouston – – – –
Clear Lake Regional Medical CenterWebster – – – –
Denton Regional Medical CenterDenton – – – –
Texas Health Harris Methodist Hurst-Euless-BedfordBedford – – – –
West Houston Medical CenterHouston – – – –
Medical City Dallas HospitalDallas – – – –
Medical Center of PlanoPlano – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Valley Regional Medical CenterBrownsville – – – –
Tomball Regional HospitalTomball – – – –
Huguley Health SystemFort Worth – – – –
Houston Methodist Clear Lake HospitalHouston – – – –
Rio Grande Regional HospitalMcAllen – – – –
St David's South Austin Medical CenterAustin – – – –
Lake Pointe Medical CenterRowlett – – – –
Texas Health Presbyterian Hospital PlanoPlano – – – –
Kingwood Medical CenterKingwood – – – –
North Austin Medical CenterAustin – – – –
Methodist Sugar Land HospitalSugar Land – – – –
Las Colinas Medical CenterIrving – – – –
Methodist Willowbrook HospitalHouston – – – –
Memorial Hermann Sugar Land HospitalSugar Land – – – –
Baylor Medical Center at FriscoFrisco – – – –
Sugar Land Surgical Hospital LLPSugar Land – – – –
St Luke's the Woodlands HospitalConroe – – – –
Texas Spine and Joint HospitalTyler – – – –
Seton Northwest HospitalAustin – – – –
Doctors Hospital at RenaissanceEdinburg – – – –
Baylor Surgical Hospital at las ColinasIrving – – – –
Lubbock Heart Hospital LpLubbock – – – –
Baylor Surgical Hospital at Fort WorthFort Worth – – – –
Centennial Medical CenterFrisco – – – –
Texas Health Harris Methodist Hospital SouthlakeSouthlake – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
Cook Ft Worth Childrens Medical CenterFort Worth – – – –
Driscoll Children's HospitalCorpus Christi – – – –
Children's Med Cntr of DallasDallas – – – –
Texas Childrens HospitalHouston – – – –
Dell Children's Medical CenterAustin – – – –
Driscoll Children's Hospital Rio Grande ValleyEdinburg – – – –
Memorial Hermann Surgical Hospital KingwoodKingwood – – – –
The Hospital at Westlake Medical CenterAustin – – – –
Methodist Mansfield Medical CenterMansfield – – – –
Patients Medical Center, LtdPasadena – – – –
Seton Medical Center WilliamsonRound Rock – – – –
Cedar Park Regional Medical CenterCedar Park – – – –
Texas Health Presbyterian Hospital RockwallRockwall – – – –
Methodist Stone Oak HospitalSan Antonio – – – –
Seton Medical Center HaysKyle – – – –
Texas Health Presbyterian Hospital Flower MoundFlower Mound – – – –
Methodist Hospital for SurgeryAddison – – – –
Baylor Scott and White Surgical Hospital at ShermaSherman – – – –
Houston Methodist West HospitalHouston – – – –
Baptist Neighborhood Hospital Thousand OaksSan Antonio – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Medical City AllianceFort Worth – – – –
Baylor Scott & White Medical Center - Marble FallsMarble Falls – – – –
Houston Methodist the Woodlands HospitalThe Woodlands – – – –
Baylor Scott & White Medical Center PflugervillePflugerville – – – –
Methodist Southlake Medical CenterSouthlake – – – –
Texas Health Hospital FriscoFrisco – – – –
The Woodlands Specialty HospitalSpring – – – –
Level 4 ENT Procedures: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 4 ENT Procedures in other states

Arkansas · $2,803 Florida · $2,835 Indiana · $2,875 Maine · $2,846 Michigan · $2,863 Minnesota · $2,893 Nebraska · $2,773 Utah · $2,875

Questions

How much does level 4 ent procedures cost in Texas?

In 2024 Medicare data, level 4 ent procedures (APC 5164) at 135 hospitals in Texas was billed at $27,897 on average, while the average medicare-allowed amount was $2,859, of which Medicare paid $2,270. 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 Texas, average charges were 9.8 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.