Level 5 ENT Procedures in Pennsylvania
What 91 hospitals in Pennsylvania charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$51,537
Hospital list price billed
Average allowed
$5,290
Medicare's payment + patient's share
Medicare paid
$4,207
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $51,537 for level 5 ent procedures, about 9.7 times the average medicare-allowed amount of $5,290. That payment is 5% 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 $5,290Billed $51,537
About 10¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 5 ent procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 376 | $56,268 | $4,811 | $3,833 |
| Thomas Jefferson University HospitalPhiladelphia | 140 | $41,088 | $5,553 | $4,417 |
| Lehigh Valley HospitalAllentown | 104 | $43,182 | $5,537 | $4,373 |
| Milton S Hershey Medical CenterHershey | 98 | $57,486 | $5,411 | $4,299 |
| Geisinger Medical CenterDanville | 96 | $96,470 | $5,119 | $4,056 |
| UPMC Presbyterian ShadysidePittsburgh | 92 | $53,260 | $5,157 | $4,099 |
| St Luke's Hospital BethlehemBethlehem | 59 | $71,739 | $5,712 | $4,548 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 57 | $37,272 | $5,900 | $4,701 |
| UPMC Pinnacle HospitalsHarrisburg | 56 | $32,799 | $5,248 | $4,181 |
| Allegheny General HospitalPittsburgh | 53 | $43,940 | $5,231 | $4,167 |
| Abington Memorial HospitalAbington | 38 | $25,837 | $5,494 | $4,377 |
| Doylestown HospitalDoylestown | 37 | $30,592 | $5,650 | $4,495 |
| Lehigh Valley Hospital - Dickson CityDickson City | 33 | $34,401 | $5,231 | $4,164 |
| Penn Presbyterian Medical CenterPhiladelphia | 32 | $61,843 | $5,900 | $4,701 |
| York HospitalYork | 31 | $54,709 | $5,512 | $4,389 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 24 | $91,839 | $5,122 | $4,076 |
| Dubois Regional Medical CenterDubois | 20 | $13,561 | $5,602 | $4,463 |
| Geisinger-Community Medical CenterScranton | 18 | $76,411 | $5,231 | $4,167 |
| Jefferson Health- NortheastPhiladelphia | 18 | $30,968 | $5,689 | $4,533 |
| Wilkes-Barre General HospitalWilkes-Barre | 17 | $53,079 | $5,231 | $4,167 |
| Surgical Institute of ReadingWyomissing | 17 | $19,756 | $5,271 | $4,195 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 16 | $26,584 | $5,650 | $4,501 |
| Saint Vincent Health CenterErie | 15 | $43,966 | $6,172 | $4,918 |
| Temple University HospitalPhiladelphia | 15 | $85,466 | $5,900 | $4,701 |
| Williamsport Hospital & Medical CenterWilliamsport | 15 | $31,058 | $5,231 | $4,167 |
| Fox Chase Cancer CenterPhiladelphia | 15 | $61,492 | $5,689 | $4,533 |
| Lancaster General HospitalLancaster | 14 | $25,349 | $5,137 | $4,030 |
| Main Line Hospital LankenauWynnewood | 14 | $29,168 | $5,650 | $4,488 |
| Hamot Medical CenterErie | 13 | $47,971 | $6,020 | $4,766 |
| Holy Spirit HospitalCamp Hill | 12 | $83,103 | $5,302 | $4,224 |
| UPMC MercyPittsburgh | 12 | $47,937 | $5,231 | $4,165 |
| UPMC MemorialYork | 12 | $24,920 | $4,598 | $3,664 |
| UPMC St MargaretPittsburgh | 12 | $49,706 | $4,918 | $3,854 |
| Jefferson Regional Medical CenterClairton | 12 | $32,348 | $5,231 | $4,167 |
| Robert Packer HospitalSayre | 11 | $34,576 | $4,990 | $3,894 |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| Evangelical Community HospitalLewisburg | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Uniontown HospitalUniontown | – | – | – | – |
| Washington Hospital, theWashington | – | – | – | – |
| Reading Hospital and Med CtrWest Reading | – | – | – | – |
| Lewistown HospitalLewistown | – | – | – | – |
| Grand View HospitalSellersville | – | – | – | – |
| Carlisle Regional Medical CtrCarlisle | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| Gettysburg HospitalGettysburg | – | – | – | – |
| Good Samaritan HospitalLebanon | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Altoona Regional Health SystemAltoona | – | – | – | – |
| West Penn HospitalPittsburgh | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| St Joseph Medical CenterReading | – | – | – | – |
| Holy Redeemer Hosp and Med CtrJenkintown | – | – | – | – |
| UPMC PassavantPittsburgh | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Pottstown Memorial Med CenterPottstown | – | – | – | – |
| Wayne Memorial HospitalHonesdale | – | – | – | – |
| Albert Einstein Medical CenterPhiladelphia | – | – | – | – |
| Excela Health Westmoreland Regional HospitalGreensburg | – | – | – | – |
| Chambersburg HospitalChambersburg | – | – | – | – |
| Main Line Hospital PaoliPaoli | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| ACMH HospitalKittanning | – | – | – | – |
| Butler Health SystemButler | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Chester County HospitalWest Chester | – | – | – | – |
| Crozer Chester Medical CenterChester | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Pocono Medical CenterEast Stroudsburg | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Latrobe Area HospitalLatrobe | – | – | – | – |
| Riddle Memorial HospitalMedia | – | – | – | – |
| Ephrata Community HospitalEphrata | – | – | – | – |
| St Clair Memorial HospitalPittsburgh | – | – | – | – |
| Hanover HospitalHanover | – | – | – | – |
| St Mary Medical CenterLanghorne | – | – | – | – |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | – | – | – | – |
| Mount Nittany Medical CenterState College | – | – | – | – |
| Physicians Care Surgical HospitalRoyersford | – | – | – | – |
| St Luke's Hospital - Anderson CampusEaston | – | – | – | – |
| UPMC EastMonroeville | – | – | – | – |
| St Luke's Hospital - Monroe CampusStroudsburg | – | – | – | – |
| Wills Eye HospitalPhiladelphia | – | – | – | – |
| Geisinger St. Luke's HospitalOrwigsburg | – | – | – | – |
| AHN Wexford HospitalWexford | – | – | – | – |
| St Luke's Hospital - Carbon CampusLehighton | – | – | – | – |
| Penn State Health Lancaster Medical CenterLancaster | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| UPMC MemorialYork, PA | $4,598 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $4,811 |
| UPMC St MargaretPittsburgh, PA | $4,918 |
| Robert Packer HospitalSayre, PA | $4,990 |
| Geisinger Medical CenterDanville, PA | $5,119 |
Highest
| Saint Vincent Health CenterErie, PA | $6,172 |
|---|---|
| Hamot Medical CenterErie, PA | $6,020 |
| Temple University HospitalPhiladelphia, PA | $5,900 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $5,900 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $5,900 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Pennsylvania?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 91 hospitals in Pennsylvania was billed at $51,537 on average, while the average medicare-allowed amount was $5,290, of which Medicare paid $4,207. 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 Pennsylvania, average charges were 9.7 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.