facebook tracking Level 5 ENT Procedures cost in Mississippi: 23 hospitals compared (APC 5165)

Level 5 ENT Procedures in Mississippi

What 23 hospitals in Mississippi charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.

APC 5165 Outpatient 2024 Medicare data
Average charge $25,169 Hospital list price billed
Average allowed $4,527 Medicare's payment + patient's share
Medicare paid $3,597 Average per service
State rank #2 of 49 1 = lowest average payment

Hospitals in Mississippi billed an average of $25,169 for level 5 ent procedures, about 5.6 times the average medicare-allowed amount of $4,527. That payment is 19% 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 $4,527Billed $25,169

About 18¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 5 ent procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Mississippi Med CenterJackson 78 $25,582 $4,902 $3,905
Mississippi Baptist Medical CenterJackson 60 $26,027 $4,902 $3,903
Memorial Hospital at GulfportGulfport 32 $21,265 $2,011 $1,588
North Mississippi Medical CenterTupelo 30 $22,661 $5,112 $4,045
St Dominic-Jackson Memorial HospitalJackson 19 $28,541 $4,902 $3,906
Singing River HospitalPascagoula 14 $37,311 $4,546 $3,566
Anderson Regional Medical CenterMeridian 12 $15,372 $4,845 $3,861
Magnolia Regional Health CenterCorinth – – – –
Baptist Memorial Hospital North MsOxford – – – –
Baptist Memorial Hospital-Oktibbeha CountyStarkville – – – –
South Central Regional Med CtrLaurel – – – –
Rush Foundation HospitalMeridian – – – –
Forrest General HospitalHattiesburg – – – –
Delta Regional Medical CenterGreenville – – – –
Wesley Medical CenterHattiesburg – – – –
Greenwood Leflore HospitalGreenwood – – – –
Baptist Mem Hosp/Golden Triangle INCColumbus – – – –
Singing River GulfportGulfport – – – –
Merit Health Women's HospitalFlowood – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
Hancock Medical CenterBay St Louis – – – –
Methodist Healthcare - Olive Branch HospitalOlive Branch – – – –
University of Mississippi Medical Center- GrenadaGrenada – – – –
Level 5 ENT Procedures: all states All Mississippi hospitals Mississippi hospital finances
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Lowest and highest allowed amounts in Mississippi

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 5 ENT Procedures in other states

Alabama · $4,776 Kentucky · $4,967 Louisiana · $4,780 Missouri · $4,657 Ohio · $4,897 Oklahoma · $4,956 Tennessee · $4,845 West Virginia · $4,942

Questions

How much does level 5 ent procedures cost in Mississippi?

In 2024 Medicare data, level 5 ent procedures (APC 5165) at 23 hospitals in Mississippi was billed at $25,169 on average, while the average medicare-allowed amount was $4,527, of which Medicare paid $3,597. 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 Mississippi, average charges were 5.6 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.