Level 5 ENT Procedures in Oklahoma
What 30 hospitals in Oklahoma charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$40,430
Hospital list price billed
Average allowed
$4,956
Medicare's payment + patient's share
Medicare paid
$3,931
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in Oklahoma billed an average of $40,430 for level 5 ent procedures, about 8.2 times the average medicare-allowed amount of $4,956. That payment is 11% 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 $4,956Billed $40,430
About 12¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 5 ent procedures
Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oklahoma
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
| Integris Baptist Medical CenterOklahoma City, OK | $4,817 |
|---|---|
| Tulsa Spine & Specialty HospitalTulsa, OK | $4,865 |
| Saint Francis Hospital, INCTulsa, OK | $4,906 |
| Norman Regional Health SystemNorman, OK | $4,927 |
| O U Medical CenterOklahoma City, OK | $4,944 |
Highest
| Integris Health Edmond HospitalEdmond, OK | $5,046 |
|---|---|
| Hillcrest Hospital SouthTulsa, OK | $5,046 |
| Community HospitalOklahoma City, OK | $5,045 |
| St John Medical Center, INCTulsa, OK | $5,045 |
| Mercy Health Center, INCOklahoma City, OK | $5,045 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Oklahoma?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 30 hospitals in Oklahoma was billed at $40,430 on average, while the average medicare-allowed amount was $4,956, of which Medicare paid $3,931. 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 Oklahoma, average charges were 8.2 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.