Level 5 ENT Procedures in Delaware
What 6 hospitals in Delaware charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$22,535
Hospital list price billed
Average allowed
$5,780
Medicare's payment + patient's share
Medicare paid
$4,585
Average per service
State rank
#36 of 49
1 = lowest average payment
Hospitals in Delaware billed an average of $22,535 for level 5 ent procedures, about 3.9 times the average medicare-allowed amount of $5,780. That payment is 3% 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 $5,780Billed $22,535
About 26¢ was paid for every $1 hospitals in Delaware billed for this service.
Delaware hospitals: level 5 ent procedures
Every Delaware hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Christiana Care Health Services, INC.Newark | 100 | $19,948 | $5,783 | $4,583 |
| St Francis HospitalWilmington | 17 | $37,752 | $5,762 | $4,590 |
| Bayhealth - Kent General HospitalDover | – | – | – | – |
| Nanticoke Memorial HospitalSeaford | – | – | – | – |
| Beebe Medical CenterLewes | – | – | – | – |
| Bayhealth Hospital, Sussex CampusMilford | – | – | – | – |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Delaware?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 6 hospitals in Delaware was billed at $22,535 on average, while the average medicare-allowed amount was $5,780, of which Medicare paid $4,585. 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 Delaware, average charges were 3.9 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.