Level 5 ENT Procedures in Utah
What 26 hospitals in Utah charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$22,917
Hospital list price billed
Average allowed
$5,312
Medicare's payment + patient's share
Medicare paid
$4,223
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $22,917 for level 5 ent procedures, about 4.3 times the average medicare-allowed amount of $5,312. 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 $5,312Billed $22,917
About 23¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 5 ent procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Utah
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
| Utah Valley Regional Medical CenterProvo, UT | $4,883 |
|---|---|
| Cottonwood Hospital Med CntrMurray, UT | $4,947 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $5,246 |
| American Fork HospitalAmerican Fork, UT | $5,246 |
| Davis Hospital and Medical CenterLayton, UT | $5,246 |
Highest
| St. George Regional HospitalSt George, UT | $5,618 |
|---|---|
| Lds HospitalSalt Lake City, UT | $5,246 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $5,246 |
| American Fork HospitalAmerican Fork, UT | $5,246 |
| Davis Hospital and Medical CenterLayton, UT | $5,246 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Utah?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 26 hospitals in Utah was billed at $22,917 on average, while the average medicare-allowed amount was $5,312, of which Medicare paid $4,223. 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 Utah, average charges were 4.3 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.