Level 5 ENT Procedures in Louisiana
What 41 hospitals in Louisiana charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$36,683
Hospital list price billed
Average allowed
$4,780
Medicare's payment + patient's share
Medicare paid
$3,784
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Louisiana billed an average of $36,683 for level 5 ent procedures, about 7.7 times the average medicare-allowed amount of $4,780. That payment is 14% 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 $4,780Billed $36,683
About 13¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 5 ent procedures
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Louisiana
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
| Touro InfirmaryNew Orleans, LA | $4,446 |
|---|---|
| Ochsner Foundation HospitalNew Orleans, LA | $4,529 |
| LSU Medical Center-Univ HospShreveport, LA | $4,540 |
| Lafayette Surgical Specialty HospitalLafayette, LA | $4,675 |
| Lafayette General Medical CenterLafayette, LA | $4,749 |
Highest
| CHRISTUS Central Louisiana Surgical HospitalAlexandria, LA | $5,070 |
|---|---|
| Willis Knighton Medical CenterShreveport, LA | $5,029 |
| St Tammany Parish HospitalCovington, LA | $4,960 |
| Tulane Medical CenterNew Orleans, LA | $4,960 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $4,952 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Louisiana?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 41 hospitals in Louisiana was billed at $36,683 on average, while the average medicare-allowed amount was $4,780, of which Medicare paid $3,784. 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 Louisiana, average charges were 7.7 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.