Level 5 ENT Procedures in Minnesota
What 33 hospitals in Minnesota charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$27,760
Hospital list price billed
Average allowed
$5,738
Medicare's payment + patient's share
Medicare paid
$4,559
Average per service
State rank
#35 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $27,760 for level 5 ent procedures, about 4.8 times the average medicare-allowed amount of $5,738. 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 $5,738Billed $27,760
About 21¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 5 ent procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 356 | $31,010 | $5,938 | $4,712 |
| United HospitalSt Paul | 108 | $21,954 | $5,598 | $4,460 |
| Regions HospitalSt Paul | 48 | $20,174 | $5,412 | $4,274 |
| St Lukes HospitalDuluth | 32 | $19,438 | $5,556 | $4,426 |
| Park Nicollet Methodist HospitalSaint Louis Park | 29 | $29,003 | $5,598 | $4,460 |
| University of Minnesota Medical Center, FairviewMinneapolis | 29 | $37,718 | $5,507 | $4,387 |
| Essentia Health DuluthDuluth | 23 | $28,114 | $5,265 | $4,154 |
| Essentia Health St Mary's Medical CenterDuluth | 20 | $32,010 | $5,556 | $4,426 |
| Abbott Northwestern Hospital INCMinneapolis | 20 | $25,264 | $5,598 | $4,460 |
| Fairview Southdale HospitalEdina | 19 | $31,630 | $5,598 | $4,460 |
| North Memorial Medical CenterRobbinsdale | 16 | $17,911 | $5,598 | $4,455 |
| Ridgeview Medical CenterWaconia | 15 | $23,276 | $5,598 | $4,458 |
| Mercy HospitalCoon Rapids | 15 | $23,520 | $5,598 | $4,460 |
| St Cloud HospitalSt Cloud | 12 | $23,382 | $5,950 | $4,741 |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Sanford Worthington Medical CenterWorthington | – | – | – | – |
| Alomere HealthAlexandria | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | – | – | – | – |
| Lake Region Healthcare CorporationFergus Falls | – | – | – | – |
| Lakeview Memorial HospitalStillwater | – | – | – | – |
| Essentia Health St Joseph's Medical CenterBrainerd | – | – | – | – |
| Buffalo HospitalBuffalo | – | – | – | – |
| Virginia Regional Medical CenterVirginia | – | – | – | – |
| Rice Memorial HospitalWillmar | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| Hutchinson Area Health CareHutchinson | – | – | – | – |
| Fairview Ridges HospitalBurnsville | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
| Maple Grove HospitalMaple Grove | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Essentia Health DuluthDuluth, MN | $5,265 |
|---|---|
| Regions HospitalSt Paul, MN | $5,412 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $5,507 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $5,556 |
| St Lukes HospitalDuluth, MN | $5,556 |
Highest
| St Cloud HospitalSt Cloud, MN | $5,950 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $5,938 |
| North Memorial Medical CenterRobbinsdale, MN | $5,598 |
| Ridgeview Medical CenterWaconia, MN | $5,598 |
| United HospitalSt Paul, MN | $5,598 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Minnesota?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 33 hospitals in Minnesota was billed at $27,760 on average, while the average medicare-allowed amount was $5,738, of which Medicare paid $4,559. 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 Minnesota, average charges were 4.8 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.