Level 5 ENT Procedures in Arizona
What 33 hospitals in Arizona charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$41,665
Hospital list price billed
Average allowed
$5,714
Medicare's payment + patient's share
Medicare paid
$4,546
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $41,665 for level 5 ent procedures, about 7.3 times the average medicare-allowed amount of $5,714. That payment is 2% above 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 $5,714Billed $41,665
About 14¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 5 ent procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Arizona
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
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | $5,331 |
|---|---|
| Banner - University Medical Center PhoenixPhoenix, AZ | $5,651 |
| Mayo Clinic HospitalPhoenix, AZ | $5,662 |
| Banner Desert Medical CenterMesa, AZ | $5,676 |
| Tucson Medical CenterTucson, AZ | $5,710 |
Highest
| Havasu Regional Medical CenterLake Havasu City, AZ | $6,339 |
|---|---|
| Flagstaff Medical CenterFlagstaff, AZ | $6,116 |
| Yuma Regional Medical CenterYuma, AZ | $5,842 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $5,711 |
| Banner Gateway Medical CenterGilbert, AZ | $5,711 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Arizona?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 33 hospitals in Arizona was billed at $41,665 on average, while the average medicare-allowed amount was $5,714, of which Medicare paid $4,546. 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 Arizona, average charges were 7.3 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.