Average charge
$41,938
Hospital list price billed
Average allowed
$5,188
Medicare's payment + patient's share
Medicare paid
$4,116
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Texas billed an average of $41,938 for level 5 ent procedures, about 8.1 times the average medicare-allowed amount of $5,188 . That payment is 7% 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 $5,188 Billed $41,938
About 12¢ was paid for every $1 hospitals in Texas billed for this service.
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Wyoming (6)
Texas hospitals: level 5 ent procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
UT Southwestern University Hospital Dallas 208
$32,168
$5,129 $4,056
Methodist Hospital,The Houston 164
$56,162
$5,351 $4,247
Univ of Tx M D Anderson Ctr Houston 160
$24,611
$5,250 $4,177
St Lukes Episcopal Hospital Houston 108
$45,739
$5,232 $4,125
Baylor University Medical Center Dallas 103
$33,599
$4,978 $3,925
Trinity Mother Frances Syst Tyler 81
$58,405
$5,081 $4,048
Seton Medical Center Austin Austin 68
$56,810
$5,154 $4,106
Methodist Hospital San Antonio 57
$52,812
$5,010 $3,977
Baylor All Saints Medical Center at Fw Fort Worth 53
$31,821
$5,028 $3,974
Scott & White Memorial Hospital Temple 52
$27,239
$5,181 $4,094
Memorial Hermann Texas Medical Center Houston 49
$77,257
$5,430 $4,326
North Austin Medical Center Austin 48
$75,855
$5,154 $4,107
Houston Methodist West Hospital Houston 44
$53,284
$5,307 $4,228
Texas Health Hospital Frisco Frisco 43
$30,257
$5,172 $4,101
Hill Country Memorial Hospital Fredericksburg 42
$27,030
$5,081 $4,048
Hillcrest Baptist Med Center Waco 38
$20,273
$5,162 $4,089
University Health System San Antonio 35
$36,500
$4,850 $3,806
Mem Hermann Southwest Hosp Houston 34
$38,685
$5,408 $4,304
University Medical Center Lubbock 34
$40,996
$5,081 $4,048
Legent Surgical Hospital Plano Plano 33
$63,357
$5,270 $4,199
Baylor Regional Medical Center at Plano Plano 32
$32,847
$5,270 $4,199
United Regional Hlth Care Syst Wichita Falls 31
$26,695
$5,467 $4,356
Scott & White Hospital-Round Rock Round Rock 31
$19,562
$5,154 $4,107
University of Texas Medical Branch Gal Galveston 25
$38,718
$5,430 $4,319
St Joseph Regional Health Center Bryan 23
$65,559
$5,100 $4,064
Jps Health Network Fort Worth 23
$41,734
$5,104 $4,029
Texas Health Presbyterian Hospital Dallas Dallas 21
$24,983
$5,270 $4,199
Parkland Health and Hospital System Dallas 19
$37,185
$5,270 $4,196
Doctors Hospital at Renaissance Edinburg 19
$40,857
$4,891 $3,858
Texas Health Harris Methodist Hospital Southlake Southlake 19
$15,091
$4,847 $3,766
Texas Institute for Surgery at Presbyterian Hospit Dallas 19
$26,000
$5,270 $4,199
Good Shepherd Medical Center Marshall Marshall 18
$69,330
$5,210 $4,151
Texas Health Harris Methodist Fort Worth Fort Worth 18
$35,376
$5,270 $4,199
Paris Regional Medical Center Paris 18
$41,867
$5,394 $4,247
CHRISTUS Spohn Hospital Corpus Christi Corpus Christi 17
$22,032
$4,881 $3,805
Hendrick Health System Abilene 17
$75,227
$5,497 $4,380
Quail Creek Surgical Hospital Amarillo 17
$36,437
$4,423 $3,387
Baylor Surgical Hospital at Fort Worth Fort Worth 17
$24,599
$5,184 $4,131
St Luke's Sugar Land Hospital Sugar Land 17
$41,404
$5,430 $4,326
Baylor Scott and White Surgical Hospital at Sherma Sherman 17
$27,653
$5,111 $4,072
Shannon Medical Center San Angelo 16
$22,198
$5,442 $4,336
Texoma Healthcare System Denison 15
$83,504
$5,270 $4,199
Bsa Hospital Amarillo 14
$43,785
$5,081 $4,048
Mary Shiels Hospital Dallas 14
$18,862
$5,270 $4,199
Methodist Willowbrook Hospital Houston 14
$68,696
$5,430 $4,326
Medical Center Hospital Odessa 13
$20,167
$5,081 $4,048
Baylor Regional Medical Center at Grapevine Grapevine 13
$29,126
$5,287 $4,212
Methodist Hospital for Surgery Addison 13
$17,984
$5,270 $4,199
Memorial Hermann Surgical Hospital Kingwood Kingwood 12
$36,403
$5,430 $4,326
Seton Medical Center Williamson Round Rock 12
$44,755
$5,272 $4,200
Baylor Scott & White Medical Center- College Stati College Station 12
$27,428
$5,205 $4,101
Methodist Southlake Medical Center Southlake 12
$25,590
$5,287 $4,200
Covenant Medical Center Lubbock 11
$82,324
$5,081 $4,048
Clear Lake Regional Medical Center Webster 11
$112,493
$5,430 $4,309
Denton Regional Medical Center Denton 11
$63,936
$5,287 $4,212
Longview Regional Medical Center Longview 11
$97,401
$5,210 $4,151
Providence Memorial Hospital El Paso –
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Sid Peterson Memorial Hospital Kerrville –
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Citizens Medical Center Victoria –
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University Medical Center of El Paso El Paso –
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Valley Baptist Medical Center - Brownsville Brownsville –
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Laredo Medical Center Laredo –
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Valley Baptist Medical Center Harlingen –
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CHRISTUS Hospital Beaumont –
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Providence Health Center Waco –
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Methodist Dallas Medical Center Dallas –
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Baptist Medical Center San Antonio –
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Texas Health Arlington Memorial Hospital Arlington –
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Brazosport Regional Health System Lake Jackson –
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Baylor Medical Center at Irving Irving –
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Titus Regional Medical Center Mt Pleasant –
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East Texas Medical Center Tyler –
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Guadalupe Regional Medical Center Seguin –
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Las Palmas Medical Center El Paso –
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South Texas Health System Edinburg –
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University Medical Center at Brackenridge Austin –
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Midland Memorial Hospital Midland –
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Detar Hospital Navarro Victoria –
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Adventhealth Central Texas Killeen –
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East Texas Medical Center Jacksonville Jacksonville –
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Wadley Regional Medical Center Texarkana –
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Weatherford Regional Medical Center Weatherford –
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Northwest Texas Hlthcare Syst Amarillo –
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CHI St Lukes Health Memorial Lufkin Lufkin –
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CHRISTUS Santa Rosa Hospital San Antonio –
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Medical City DecaturDecatur
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CHRISTUS Santa Rosa Hospital-San Marcos San Marcos –
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Harris County Hospital District Houston –
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Mem Hermann Baptist Hospital Beaumont –
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Hunt Regional Medical Center Greenville –
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Baylor Medical Center at Waxahachie Waxahachie –
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East Texas Medical Center Athens Athens –
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Houston Methodist Baytown Hospital Baytown –
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St Davids Hospital Austin –
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Navarro Regional Hospital Corsicana –
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Woodland Heights Medical Center Lufkin –
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Nacogdoches Memorial Hospital Nacogdoches –
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Methodist Richardson Medical Center Richardson –
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Lake Granbury Medical Center Granbury –
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Mem Hermann Mem City Hosp Houston –
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Houston Northwest Medical Center Houston –
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West Houston Medical Center Houston –
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Medical City Dallas Hospital Dallas –
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Medical Center of Plano Plano –
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Nacogdoches Medical Center Nacogdoches –
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HCA Houston Healthcare Medical Center Houston –
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Sierra Medical Center El Paso –
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Tomball Regional Hospital Tomball –
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Plaza Medical Center of Fort Worth Fort Worth –
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Dallas Regional Medical Center Mesquite –
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Houston Methodist Clear Lake Hospital Houston –
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Rio Grande Regional Hospital McAllen –
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St David's South Austin Medical Center Austin –
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Round Rock Medical Center Round Rock –
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Lake Pointe Medical Center Rowlett –
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Texas Health Presbyterian Hospital Plano Plano –
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Kingwood Medical Center Kingwood –
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CHRISTUS St Michael Health System Texarkana –
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Healthsouth Surgical Hospital Austin –
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Methodist Sugar Land Hospital Sugar Land –
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Kell West Regional HospitalWichita Falls
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Memorial Hermann Sugar Land Hospital Sugar Land –
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Baylor Medical Center at Frisco Frisco –
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South Texas Spine and Surgical Hospital San Antonio –
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Sugar Land Surgical Hospital LLP Sugar Land –
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St Luke's the Woodlands Hospital Conroe –
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Texas Spine and Joint Hospital Tyler –
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Seton Northwest Hospital Austin –
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Usmd Hospital at Arlington L P Arlington –
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Baylor Surgical Hospital at las Colinas Irving –
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Texas Health Center for Diagnostics & Surgery Plan Plano –
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Horizon Medical Center of DentonDenton
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Cook Ft Worth Childrens Medical Center Fort Worth –
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Driscoll Children's Hospital Corpus Christi –
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The Hospital at Westlake Medical Center Austin –
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Houston Physicians' Hospital Webster –
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Methodist Mansfield Medical Center Mansfield –
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Patients Medical Center, Ltd Pasadena –
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Cedar Park Regional Medical Center Cedar Park –
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Texas Health Presbyterian Hospital Rockwall Rockwall –
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North Central Surgical Center LLP Dallas –
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Methodist Stone Oak Hospital San Antonio –
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Seton Medical Center Hays Kyle –
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Texas Health Presbyterian Hospital Flower Mound Flower Mound –
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Methodist McKinney Hospital McKinney –
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St Luke's Hospital at the Vintage Houston –
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Seton Medical Center Harker Heights Harker Heights –
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Baylor Scott and White Medical Center McKinney Mc Kinney –
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Medical City Alliance Fort Worth –
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Baylor Scott & White Medical Center - Marble Falls Marble Falls –
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The Hospitals of Providence Transmountain Campus El Paso –
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Houston Methodist the Woodlands Hospital The Woodlands –
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Baylor Scott & White Medical Center Pflugerville Pflugerville –
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Baylor Scott & White Medical Center - Buda Buda –
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Townsen Memorial Hospital Humble –
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Texas Health Hospital Mansfield Mansfield –
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Lowest and highest allowed amounts in Texas
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
Quail Creek Surgical Hospital Amarillo, TX $4,423 Texas Health Harris Methodist Hospital Southlake Southlake, TX $4,847 University Health System San Antonio, TX $4,850 CHRISTUS Spohn Hospital Corpus Christi Corpus Christi, TX $4,881 Doctors Hospital at Renaissance Edinburg, TX $4,891
Highest
Hendrick Health System Abilene, TX $5,497 United Regional Hlth Care Syst Wichita Falls, TX $5,467 Shannon Medical Center San Angelo, TX $5,442 Clear Lake Regional Medical Center Webster, TX $5,430 University of Texas Medical Branch Gal Galveston, TX $5,430
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Texas? In 2024 Medicare data, level 5 ent procedures (APC 5165) at 156 hospitals in Texas was billed at $41,938 on average, while the average medicare-allowed amount was $5,188, of which Medicare paid $4,116. 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 Texas, average charges were 8.1 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 .
