Level 5 ENT Procedures in Missouri
What 50 hospitals in Missouri charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$28,936
Hospital list price billed
Average allowed
$4,657
Medicare's payment + patient's share
Medicare paid
$3,696
Average per service
State rank
#3 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $28,936 for level 5 ent procedures, about 6.2 times the average medicare-allowed amount of $4,657. That payment is 17% 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 $4,657Billed $28,936
About 16¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 5 ent procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Missouri
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
| Barnes-Jewish West County HospitalSt Louis, MO | $2,500 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $4,874 |
| Lester E Cox Medical CentersSpringfield, MO | $4,877 |
| University Hospitals & ClinicsColumbia, MO | $4,897 |
| Freeman Health System - Freeman WestJoplin, MO | $4,924 |
Highest
| Mosaic Life Care at St JosephSt Joseph, MO | $5,509 |
|---|---|
| St Lukes HospitalChesterfield, MO | $5,212 |
| Barnes Jewish HospitalSt Louis, MO | $5,130 |
| St Louis University HospitalSt Louis, MO | $5,119 |
| Missouri Baptist Medical CenterTown and Country, MO | $5,119 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Missouri?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 50 hospitals in Missouri was billed at $28,936 on average, while the average medicare-allowed amount was $4,657, of which Medicare paid $3,696. 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 Missouri, average charges were 6.2 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.