facebook tracking Level 5 ENT Procedures cost in Florida: 110 hospitals compared (APC 5165)

Level 5 ENT Procedures in Florida

What 110 hospitals in Florida charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.

APC 5165 Outpatient 2024 Medicare data
Average charge $60,712 Hospital list price billed
Average allowed $5,168 Medicare's payment + patient's share
Medicare paid $4,109 Average per service
State rank #17 of 49 1 = lowest average payment

Hospitals in Florida billed an average of $60,712 for level 5 ent procedures, about 11.7 times the average medicare-allowed amount of $5,168. That payment is 7% 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 $5,168Billed $60,712

About 9¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 5 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Memorial Hospital of TampaTampa 840 $65,648 $5,285 $4,205
Adventhealth OrlandoOrlando 186 $50,269 $5,282 $4,202
Sarasota Memorial HospitalSarasota 170 $61,351 $5,280 $4,202
Tampa General HospitalTampa 170 $77,483 $5,289 $4,213
Mayo ClinicJacksonville 168 $33,903 $5,229 $4,151
Shands Hospital at the University of FloridaGainesville 153 $38,014 $3,747 $2,978
Univ of Miami Hosp & ClinicsMiami 133 $76,264 $5,210 $4,131
Baptist Medical CenterJacksonville 104 $47,061 $5,264 $4,186
Lee Memorial HospitalFort Myers 85 $67,787 $5,043 $4,016
Orlando Regional HealthcareOrlando 57 $65,781 $5,305 $4,222
Baptist Hospital of Miami INCMiami 38 $67,256 $5,305 $4,226
Shands Jacksonville Medical CenterJacksonville 37 $58,552 $5,001 $3,923
Gulf Coast Medical Center Lee HealthFort Myers 37 $67,323 $5,196 $4,112
Baptist HospitalPensacola 30 $72,856 $5,216 $4,156
H Lee Moffitt Cancer CenterTampa 29 $26,903 $5,305 $4,226
Memorial Regional HospitalHollywood 27 $61,090 $5,305 $4,226
Sacred Heart HospitalPensacola 24 $41,931 $5,305 $4,226
Cleveland Clinic HospitalWeston 24 $44,485 $5,305 $4,226
Physicians Regional Medical Center - Pine RidgeNaples 23 $75,479 $5,305 $4,226
Good Samaritan Medical CenterWest Palm Beach 23 $108,978 $5,129 $4,039
Broward General Medical CenterFort Lauderdale 19 $39,170 $5,085 $3,987
Martin Memorial Health SystemsStuart 19 $43,714 $5,305 $4,226
Mease Countryside HospitalSafety Harbor 19 $45,418 $5,092 $4,004
Sarasota Memorial Hospital - VeniceNorth Venice 19 $53,129 $5,305 $4,226
Bartow Regional Medical CenterBartow 18 $46,074 $4,868 $3,783
Fort Walton Beach Medical CenterFort Walton Beach 16 $178,993 $5,305 $4,226
Holmes Regional Medical CenterMelbourne 15 $52,880 $5,305 $4,226
Indian River Medical CenterVero Beach 15 $42,539 $5,305 $4,226
Manatee Memorial HospitalBradenton 14 $134,975 $5,305 $4,226
Jupiter Medical CenterJupiter 14 $49,170 $5,305 $4,226
Ascension St Vincent's Clay CountyMiddleburg 14 $69,000 $5,305 $4,226
Adventhealth Daytona BeachDaytona Beach 13 $36,223 $5,305 $4,226
Memorial Hospital WestHollywood 13 $60,216 $5,305 $4,226
Morton Plant HospitalClearwater 11 $54,307 $5,305 $4,226
Sebastian River Medical CenterSebastian 11 $96,308 $5,305 $4,226
Sacred Heart Hospital on the Emerald CoastMiramar Beach 11 $43,829 $5,305 $4,226
St Luke's HospitalJacksonville 11 $59,053 $5,305 $4,226
Bethesda Memorial HospitalBoynton Beach – – – –
Halifax Health Medical CenterDaytona Beach – – – –
Naples Community HospitalNaples – – – –
Jackson Health SystemMiami – – – –
Bay Medical CenterPanama City – – – –
Parrish Medical CenterTitusville – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Mount Sinai Medical CenterMiami Beach – – – –
St Vincent's Medical CenterJacksonville – – – –
Mease Hospital DunedinDunedin – – – –
Florida Hospital ZephyrhillsZephyrhills – – – –
Adventhealth North PinellasTarpon Springs – – – –
Florida Hospital WatermanEustis – – – –
Adventhealth OcalaOcala – – – –
St Anthony's HospitalSt Petersburg – – – –
Brooksville Regional HospitalBrooksville – – – –
Florida Hospital Fish MemorialOrange City – – – –
Holy Cross Hospital INCFort Lauderdale – – – –
St Joseph's HospitalTampa – – – –
Adventhealth Port CharlottePort Charlotte – – – –
Jfk Medical CenterAtlantis – – – –
Leesburg Regional Medical CenterLeesburg – – – –
North Broward Medical CenterPompano Beach – – – –
Flagler HospitalSt Augustine – – – –
Orlando Health Rockledge HospitalRockledge – – – –
Lake Wales Medical CenterLake Wales – – – –
Adventhealth SebringSebring – – – –
Osceola Regional Medical CenterKissimmee – – – –
Baptist Medical Center BeachesJacksonville Beach – – – –
Adventhealth Palm CoastPalm Coast – – – –
North Okaloosa Medical CenterCrestview – – – –
Palms of Pasadena HospitalSt Petersburg – – – –
Tallahassee Memorial HealthcareTallahassee – – – –
Baptist Medical Center - NassauFernandina Beach – – – –
Lower Keys Medical CenterKey West – – – –
South Miami HospitalMiami – – – –
Lakeland Regional Medical CenterLakeland – – – –
Central Florida Regional HospitalSanford – – – –
Doctors Hospital of SarasotaSarasota – – – –
Plantation General HospitalPlantation – – – –
Boca Raton Regional HospitalBoca Raton – – – –
Adventhealth TampaTampa – – – –
Cape Canaveral HospitalCocoa Beach – – – –
HCA Florida Memorial HospitalJacksonville – – – –
HCA Florida Trinity HospitalNew Port Richey – – – –
Imperial Point Medical CenterFort Lauderdale – – – –
North Florida Regional Medical CenterGainesville – – – –
Adventhealth Dade CityDade City – – – –
Ocala Regional Medical CenterOcala – – – –
Blake Medical CenterBradenton – – – –
Memorial Hospital PembrokeHollywood – – – –
West Florida HospitalPensacola – – – –
Fawcett Memorial HospitalPort Charlotte – – – –
Gulf Coast Medical CenterPanama City – – – –
Brandon Regional HospitalBrandon – – – –
Cape Coral HospitalCape Coral – – – –
HCA Florida Lawnwood HospitalFort Pierce – – – –
Tampa General Hospital Crystal RiverCrystal River – – – –
Raulerson HospitalOkeechobee – – – –
Capital Regional Medical CenterTallahassee – – – –
Regional Medical Center Bayonet PointHudson – – – –
Delray Medical CenterDelray Beach – – – –
St Lucie Medical CenterPort St Lucie – – – –
Oak Hill HospitalBrooksville – – – –
Gulf Breeze HospitalGulf Breeze – – – –
Wellington Regional Medical CenterWellington – – – –
Memorial Hospital MiramarMiramar – – – –
St Mary's Medical CenterWest Palm Beach – – – –
Lakewood Ranch Medical CenterBradenton – – – –
St Cloud Regional Medical CenterSt Cloud – – – –
Palm Bay HospitalPalm Bay – – – –
Adventhealth Wesley ChapelWesley Chapel – – – –
Baycare Hospital Wesley ChapelWesley Chapel – – – –
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Lowest and highest allowed amounts in Florida

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

Shands Hospital at the University of FloridaGainesville, FL$3,747
Bartow Regional Medical CenterBartow, FL$4,868
Shands Jacksonville Medical CenterJacksonville, FL$5,001
Lee Memorial HospitalFort Myers, FL$5,043
Broward General Medical CenterFort Lauderdale, FL$5,085

Highest

Orlando Regional HealthcareOrlando, FL$5,305
Baptist Hospital of Miami INCMiami, FL$5,305
Holmes Regional Medical CenterMelbourne, FL$5,305
Sacred Heart HospitalPensacola, FL$5,305
Manatee Memorial HospitalBradenton, FL$5,305

Level 5 ENT Procedures in other states

Questions

How much does level 5 ent procedures cost in Florida?

In 2024 Medicare data, level 5 ent procedures (APC 5165) at 110 hospitals in Florida was billed at $60,712 on average, while the average medicare-allowed amount was $5,168, of which Medicare paid $4,109. 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 Florida, average charges were 11.7 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.