Level 5 ENT Procedures in Oregon
What 25 hospitals in Oregon charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$32,347
Hospital list price billed
Average allowed
$6,213
Medicare's payment + patient's share
Medicare paid
$4,945
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $32,347 for level 5 ent procedures, about 5.2 times the average medicare-allowed amount of $6,213. That payment is 11% 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 $6,213Billed $32,347
About 19¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 5 ent procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oregon
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
| Three Rivers Community HospitalGrants Pass, OR | $5,778 |
|---|---|
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $6,091 |
| Providence St Vincent Medical CenterPortland, OR | $6,145 |
| Providence Portland Medical CenterPortland, OR | $6,145 |
| OHSU Hospital and ClinicsPortland, OR | $6,145 |
Highest
| Rogue Valley Medical CenterMedford, OR | $7,110 |
|---|---|
| Bay Area HospitalCoos Bay, OR | $6,398 |
| St Charles Medical Center - BendBend, OR | $6,188 |
| Legacy Emanuel Medical CenterPortland, OR | $6,145 |
| OHSU Hospital and ClinicsPortland, OR | $6,145 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Oregon?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 25 hospitals in Oregon was billed at $32,347 on average, while the average medicare-allowed amount was $6,213, of which Medicare paid $4,945. 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 Oregon, average charges were 5.2 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.