facebook tracking Level 5 ENT Procedures cost in California: 170 hospitals compared (APC 5165)

Level 5 ENT Procedures in California

What 170 hospitals in California charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.

APC 5165 Outpatient 2024 Medicare data
Average charge $62,428 Hospital list price billed
Average allowed $7,426 Medicare's payment + patient's share
Medicare paid $5,917 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $62,428 for level 5 ent procedures, about 8.4 times the average medicare-allowed amount of $7,426. That payment is 33% 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 $7,426Billed $62,428

About 12¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 5 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 319 $121,432 $7,946 $6,363
University of California Davis Medical CenterSacramento 249 $64,745 $7,285 $5,803
UCLA Medical CenterLos Angeles 222 $33,132 $7,057 $5,597
UCSF Medical CenterSan Francisco 214 $57,722 $8,184 $6,551
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 154 $36,737 $7,200 $5,736
University of California San Diego Medical CenterSan Diego 143 $55,178 $7,200 $5,734
Cedars-Sinai Medical CenterLos Angeles 114 $111,710 $7,150 $5,685
Loma Linda University Medical CenterLoma Linda 102 $67,011 $7,200 $5,735
USC University HospitalLos Angeles 101 $41,518 $7,200 $5,733
Scripps Green HospitalLa Jolla 80 $70,584 $7,200 $5,736
Community Regional Medical CenterFresno 77 $32,378 $7,200 $5,736
UCI Health-OrangeOrange 76 $41,966 $6,935 $5,495
Good Samaritan HospitalLos Angeles 74 $48,741 $7,122 $5,657
Hoag Memorial Hospital PresbyterianNewport Beach 66 $40,807 $7,200 $5,736
Santa Barbara Cottage HospitalSanta Barbara 60 $37,999 $7,711 $6,141
Sharp Memorial HospitalSan Diego 56 $53,082 $7,097 $5,632
Sutter General HospitalSacramento 54 $41,992 $8,201 $6,569
Saint John's Health CenterSanta Monica 54 $29,002 $7,094 $5,630
Mercy General HospitalSacramento 48 $46,984 $7,479 $5,955
Sonora Community HospitalSonora 47 $63,012 $7,580 $6,013
City of Hope Natl Medical CtrDuarte 43 $80,088 $7,200 $5,732
Santa Rosa Memorial HospitalSanta Rosa 42 $131,773 $8,201 $6,563
John Muir Medical Center - Walnut Creek CampusWalnut Creek 40 $91,908 $8,051 $6,440
El Camino HospitalMountain View 36 $98,052 $8,246 $6,611
Mercy Medical Center ReddingRedding 34 $38,964 $7,200 $5,736
Memorial Medical CenterModesto 32 $35,515 $7,200 $5,736
Saint Agnes Medical CenterFresno 31 $40,788 $7,200 $5,734
Torrance Memorial Medical CenterTorrance 29 $49,964 $6,808 $5,340
Marina del Rey HospitalMarina del Rey 29 $48,646 $7,200 $5,736
Enloe Medical CenterChico 28 $78,292 $6,995 $5,532
Stanford Health Care Tri-ValleyPleasanton 24 $74,078 $8,074 $6,476
Hanford Community Medical CenterHanford 23 $36,692 $6,073 $4,835
Grossmont HospitalLa Mesa 21 $52,314 $7,200 $5,733
San Francisco General HospitalSan Francisco 21 $94,951 $8,370 $6,738
Long Beach Memorial Medical CenterLong Beach 21 $49,283 $6,927 $5,463
Scripps Memorial Hospital la JollaLa Jolla 20 $86,178 $7,200 $5,732
Riverside Community HospitalRiverside 19 $113,843 $7,200 $5,736
Community Hospital of the Monterey PeninsulaMonterey 18 $32,970 $8,246 $6,614
Peninsula Medical CenterBurlingame 17 $39,436 $7,581 $5,945
St Jude Medical CenterFullerton 17 $38,427 $6,920 $5,456
Kern Medical CenterBakersfield 17 $30,543 $7,060 $5,615
St Johns Regional Medical CenterOxnard 16 $54,056 $7,200 $5,736
Sutter Medical Center of Santa RosaSanta Rosa 15 $54,016 $7,817 $6,228
Huntington Memorial HospitalPasadena 15 $50,725 $6,874 $5,411
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 15 $34,739 $7,824 $6,234
Salinas Valley Memorial HospitalSalinas 14 $50,708 $7,781 $6,141
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 13 $39,142 $8,370 $6,738
Marinhealth Medical CenterGreenbrae 13 $101,816 $8,178 $6,546
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 12 $55,625 $8,132 $6,500
Clovis Community Medical CenterClovis 12 $30,457 $7,200 $5,736
Sutter Auburn Faith HospitalAuburn 12 $28,173 $7,479 $5,959
Eisenhower Memorial HospitalRancho Mirage 12 $61,273 $7,200 $5,736
St Joseph HospitalOrange 11 $29,731 $7,200 $5,736
Marian Medical CenterSanta Maria 11 $45,733 $7,200 $5,736
PIH Health Hospital-WhittierWhittier 11 $45,138 $7,200 $5,736
Emanuel Medical Center INCTurlock 11 $78,769 $7,357 $5,862
Sierra View District HospitalPorterville 11 $31,154 $7,200 $5,728
Providence Little Company of Mary Med Ctr TorranceTorrance 11 $48,420 $7,200 $5,722
Community Memorial Hospital - VenturaVentura 11 $31,110 $7,200 $5,736
Los Robles Hospital & Medical CenterThousand Oaks 11 $128,723 $7,200 $5,736
Mission Hospital Regional Med CenterMission Viejo 11 $45,238 $7,200 $5,736
St Joseph HospitalEureka – – – –
California Pacific Medical Ctr-Davies Campus HospSan Francisco – – – –
Queen of the Valley Medical CenterNapa – – – –
Oroville HospitalOroville – – – –
Bakersfield Memorial HospitalBakersfield – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
Alta Bates Summit Medical CenterOakland – – – –
El Centro Regional Medical CenterEl Centro – – – –
California Pacific Medical Ctr - St. Luke's CampusSan Francisco – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Kaweah Delta Medical CenterVisalia – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Scripps Mercy HospitalSan Diego – – – –
San Antonio Community HospitalUpland – – – –
Sutter Solano Medical CenterVallejo – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
White Memorial Medical CenterLos Angeles – – – –
Lompoc Healthcare DistrictLompoc – – – –
San Mateo Medical CenterSan Mateo – – – –
Northridge Hospital Medical CenterNorthridge – – – –
Doctors Hospital of MantecaManteca – – – –
Valley Presbyterian HospitalVan Nuys – – – –
Woodland Memorial HospitalWoodland – – – –
Tri-City Medical CenterOceanside – – – –
St Bernardine Medical CenterSan Bernardino – – – –
Novato Community HospitalNovato – – – –
San Gabriel Valley Medical CenterSan Gabriel – – – –
Rideout Memorial HospitalMarysville – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
California Hospital Medical Center laLos Angeles – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
Watsonville Community HospitalWatsonville – – – –
Washington HospitalFremont – – – –
Sequoia HospitalRedwood City – – – –
Palmdale Regional Medical CenterLancaster – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Pomona Valley Hospital Medical CenterPomona – – – –
French Hospital Medical CenterSan Luis Obispo – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
USC Arcadia HospitalArcadia – – – –
Glendale Adventist Medical CtrGlendale – – – –
Dominican HospitalSanta Cruz – – – –
Arrowhead Regional Medical CenterColton – – – –
Redlands Community HospitalRedlands – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Hi-Desert Medical CenterJoshua Tree – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Mercy HospitalBakersfield – – – –
Sutter Roseville Medical CenterRoseville – – – –
Highland HospitalOakland – – – –
Barton Memorial HospitalSouth Lake Tahoe – – – –
Northbay Medical CenterFairfield – – – –
Los Angeles General Medical CenterLos Angeles – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Good Samaritan HospitalSan Jose – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Downey Regional Medical CenterDowney – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Mercy Hospital of FolsomFolsom – – – –
Mercy Medical Ctr MercedMerced – – – –
Adventist Health BakersfieldBakersfield – – – –
St Mary's Medical CenterSan Francisco – – – –
Doctors Medical CenterModesto – – – –
Memorial Hospital of GardenaGardena – – – –
John Muir Medical Center - Concord CampusConcord – – – –
Scripps Memorial Hospital - EncinitasEncinitas – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Mercy San Juan Medical CenterCarmichael – – – –
Victor Valley Community HospitalVictorville – – – –
Sutter Davis HospitalDavis – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
Lakewood Regional Medical CenterLakewood – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital AnaheimAnaheim – – – –
Henry Mayo Newhall Memorial HospitalValencia – – – –
Twin Cities Community HospitalTempleton – – – –
Palomar Medical Center PowayPoway – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Orange Coast Memorial Medical CenterFountain Valley – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Southwest Healthcare SystemMurrieta – – – –
Fresno Surgical HospitalFresno – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Garfield Medical CenterMonterey Park – – – –
Sherman Oaks HospitalSherman Oaks – – – –
Providence Tarzana Medical CenterTarzana – – – –
Shasta Regional Medical CenterRedding – – – –
Sutter Surgical Hospital - North ValleyYuba City – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Temecula Valley HospitalTemecula – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Level 5 ENT Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Hanford Community Medical CenterHanford, CA$6,073
Torrance Memorial Medical CenterTorrance, CA$6,808
Huntington Memorial HospitalPasadena, CA$6,874
St Jude Medical CenterFullerton, CA$6,920
Long Beach Memorial Medical CenterLong Beach, CA$6,927

Highest

California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$8,370
San Francisco General HospitalSan Francisco, CA$8,370
El Camino HospitalMountain View, CA$8,246
Community Hospital of the Monterey PeninsulaMonterey, CA$8,246
Santa Rosa Memorial HospitalSanta Rosa, CA$8,201

Level 5 ENT Procedures in other states

Alaska · $6,045 Connecticut · $6,479 Hawaii · $6,579 Massachusetts · $6,255 Nevada · $6,154 New Jersey · $6,327 New York · $6,432 Oregon · $6,213

Questions

How much does level 5 ent procedures cost in California?

In 2024 Medicare data, level 5 ent procedures (APC 5165) at 170 hospitals in California was billed at $62,428 on average, while the average medicare-allowed amount was $7,426, of which Medicare paid $5,917. 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 California, average charges were 8.4 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.