Level 3 ENT Procedures — what U.S. hospitals charge
APC 5163 · Hospital outpatient visit · 177 U.S. hospitals publish a price
Cheapest quarter
under $3,631
Typical charge
$6,397
Dearest quarter
over $9,336
Actually paid
$1,362
The middle U.S. hospital bills $6,397 for Level 3 ENT Procedures. The dearest hospitals charge about 5.6x what the cheapest do for the same coded work. Medicare actually paid about $1,362 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 3 ENT Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| New Hampshire | 3 | $1,775 | $1,219 – $2,831 |
| Montana | 3 | $1,961 | $1,679 – $3,263 |
| Minnesota | 5 | $2,962 | $2,404 – $15,893 |
| Wisconsin | 5 | $3,283 | $1,828 – $4,822 |
| New Mexico | 3 | $3,307 | $2,261 – $4,456 |
| Washington | 6 | $3,453 | $2,759 – $4,877 |
| Michigan | 7 | $3,546 | $600 – $12,493 |
| South Dakota | 4 | $3,575 | $2,691 – $4,628 |
| Missouri | 4 | $3,717 | $3,421 – $8,987 |
| Virginia | 4 | $4,393 | $2,352 – $8,988 |
| Maine | 3 | $4,499 | $3,847 – $8,697 |
| West Virginia | 5 | $5,060 | $3,807 – $9,205 |
| Illinois | 7 | $5,551 | $3,603 – $14,114 |
| Iowa | 3 | $5,585 | $1,848 – $11,120 |
| North Carolina | 4 | $5,640 | $4,454 – $10,165 |
| Texas | 6 | $6,217 | $4,326 – $14,264 |
| New York | 8 | $6,387 | $1,836 – $18,100 |
| Ohio | 7 | $6,626 | $4,189 – $9,677 |
| Massachusetts | 9 | $6,975 | $3,465 – $12,391 |
| California | 10 | $7,381 | $173 – $19,543 |
| Tennessee | 3 | $8,458 | $6,887 – $9,241 |
| Kentucky | 4 | $8,877 | $5,212 – $18,016 |
| Georgia | 4 | $9,262 | $5,299 – $18,319 |
| Indiana | 7 | $10,791 | $7,408 – $35,009 |
| Louisiana | 6 | $11,582 | $4,214 – $16,099 |
| Pennsylvania | 14 | $11,645 | $4,800 – $26,511 |
| Florida | 4 | $12,688 | $7,714 – $22,885 |
| Oklahoma | 5 | $13,670 | $11,296 – $25,751 |
Where Level 3 ENT Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Community Memorial Hospital - Ventura
Ventura, CA |
$173 | $1,875 |
|
Henry Ford Health West Bloomfield Hospital
W Bloomfield, MI |
$600 | $798 |
|
Sanford Medical Center Bismarck
Bismarck, ND |
$705 | $1,430 |
|
Mountain View Hospital
Idaho Falls, ID |
$1,171 | $1,148 |
|
Cheshire Medical Center
Keene, NH |
$1,219 | $1,462 |
|
Henry Ford Health Hospital
Detroit, MI |
$1,554 | $1,317 |
|
Billings Clinic Hospital
Billings, MT |
$1,679 | $1,326 |
|
Concord Hospital
Concord, NH |
$1,775 | $637 |
|
Northwest Specialty Hospital
Post Falls, ID |
$1,782 | $1,397 |
|
Sanford Medical Center Fargo
Fargo, ND |
$1,808 | $1,430 |
|
Beloit Health System
Beloit, WI |
$1,828 | $1,483 |
|
Bassett Healthcare
Cooperstown, NY |
$1,836 | $1,732 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Trident Medical Center
Charleston, SC |
$42,525 | $1,316 |
|
Northwest Health-La Porte
La Porte, IN |
$35,009 | $1,360 |
|
Temple University Hospital
Philadelphia, PA |
$26,511 | $999 |
|
O U Medical Center
Oklahoma City, OK |
$25,751 | $1,051 |
|
Adventhealth Orlando
Orlando, FL |
$22,885 | $1,382 |
|
Stanford Health Care
Stanford, CA |
$19,543 | $2,118 |
|
Piedmont Newnan Hospital, Inc
Newnan, GA |
$18,319 | $1,415 |
|
Nyu Langone Hospitals
New York, NY |
$18,100 | $1,718 |
|
Baptist Health Paducah
Paducah, KY |
$18,016 | $1,395 |
|
Geisinger Medical Center
Danville, PA |
$17,231 | $1,362 |
|
Lee Memorial Hospital
Fort Myers, FL |
$16,844 | $1,382 |
|
Geisinger Wyoming Valley Medical Center
Wilkes Barre, PA |
$16,229 | $1,317 |
Questions people ask
What do U.S. hospitals charge for Level 3 ENT Procedures?
Across 177 U.S. hospitals, the middle charge for Level 3 ENT Procedures is $6,397. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $3,631 and the dearest quarter over $9,336.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 3 ENT Procedures, the hospitals in the dearest tenth charge about 5.6x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $1,362 is roughly what Medicare actually paid per case, against an average charge of $6,801. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5163: “Level 3 ENT Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.