Level 5 ENT Procedures in Alabama
What 40 hospitals in Alabama charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$43,081
Hospital list price billed
Average allowed
$4,776
Medicare's payment + patient's share
Medicare paid
$3,780
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $43,081 for level 5 ent procedures, about 9.0 times the average medicare-allowed amount of $4,776. That payment is 15% below the U.S. average of $5,586.
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 $4,776Billed $43,081
About 11¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 5 ent procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Alabama
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
| Thomas HospitalFairhope, AL | $4,416 |
|---|---|
| Mobile InfirmaryMobile, AL | $4,579 |
| St Vincent's BirminghamBirmingham, AL | $4,640 |
| University of Alabama HospitalBirmingham, AL | $4,760 |
| Brookwood Medical CenterBirmingham, AL | $4,773 |
Highest
| Crestwood Medical CenterHuntsville, AL | $4,939 |
|---|---|
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | $4,889 |
| Grandview Medical CenterBirmingham, AL | $4,873 |
| Huntsville HospitalHuntsville, AL | $4,803 |
| Brookwood Medical CenterBirmingham, AL | $4,773 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Alabama?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 40 hospitals in Alabama was billed at $43,081 on average, while the average medicare-allowed amount was $4,776, of which Medicare paid $3,780. 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 Alabama, average charges were 9.0 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.