Level 4 ENT Procedures — what U.S. hospitals charge
APC 5164 · Hospital outpatient visit · 378 U.S. hospitals publish a price
Cheapest quarter
under $13,556
Typical charge
$18,952
Dearest quarter
over $27,052
Actually paid
$2,934
The middle U.S. hospital bills $18,952 for Level 4 ENT Procedures. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $2,934 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 4 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 |
|---|---|---|---|
| Massachusetts | 15 | $9,729 | $4,088 – $39,047 |
| Arkansas | 6 | $10,172 | $2,590 – $30,646 |
| Vermont | 3 | $10,867 | $4,744 – $11,916 |
| New Mexico | 3 | $11,442 | $9,251 – $33,438 |
| Utah | 5 | $11,656 | $7,812 – $12,395 |
| Maine | 4 | $11,830 | $7,645 – $16,260 |
| North Dakota | 3 | $12,166 | $8,849 – $12,966 |
| Idaho | 6 | $13,005 | $7,019 – $21,938 |
| Kansas | 6 | $13,761 | $9,339 – $64,333 |
| Iowa | 8 | $13,809 | $5,199 – $28,325 |
| Missouri | 14 | $14,109 | $9,224 – $18,269 |
| Minnesota | 7 | $14,910 | $7,759 – $21,178 |
| Nebraska | 3 | $14,967 | $7,699 – $17,861 |
| South Dakota | 8 | $15,123 | $8,180 – $25,657 |
| Oregon | 6 | $16,286 | $13,209 – $22,577 |
| Wisconsin | 7 | $17,161 | $7,716 – $31,918 |
| Tennessee | 8 | $18,050 | $8,545 – $35,395 |
| Kentucky | 5 | $18,055 | $10,173 – $32,783 |
| Indiana | 10 | $18,110 | $15,516 – $32,796 |
| New York | 23 | $18,177 | $2,444 – $37,841 |
| Washington | 13 | $18,371 | $7,571 – $32,158 |
| Virginia | 8 | $18,883 | $11,568 – $80,742 |
| Louisiana | 7 | $19,207 | $10,004 – $26,225 |
| Ohio | 19 | $20,275 | $12,695 – $57,509 |
| Oklahoma | 7 | $21,684 | $8,902 – $48,542 |
| Illinois | 14 | $21,968 | $4,511 – $42,713 |
| Michigan | 10 | $22,102 | $10,625 – $25,528 |
| North Carolina | 9 | $22,262 | $11,316 – $31,193 |
| Arizona | 6 | $22,660 | $10,621 – $32,404 |
| New Jersey | 8 | $22,734 | $16,898 – $32,274 |
| Pennsylvania | 13 | $23,137 | $7,277 – $51,533 |
| Georgia | 12 | $24,461 | $12,945 – $40,325 |
| South Carolina | 8 | $25,432 | $15,133 – $60,681 |
| Colorado | 4 | $27,566 | $24,473 – $38,301 |
| Texas | 24 | $28,907 | $10,505 – $61,729 |
| California | 26 | $29,595 | $11,467 – $105,388 |
| Florida | 21 | $33,706 | $14,409 – $121,920 |
| Alabama | 3 | $53,386 | $20,093 – $81,941 |
Where Level 4 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 |
|---|---|---|
|
Clifton Springs Hospital And Clinic
Clifton Springs, NY |
$2,444 | $853 |
|
White County Medical Center
Searcy, AR |
$2,590 | $2,931 |
|
Mary Hitchcock Memorial Hospital
Lebanon, NH |
$3,452 | $760 |
|
Boston Medical Center
Boston, MA |
$4,088 | $1,763 |
|
University Of Mississippi Med Center
Jackson, MS |
$4,132 | $583 |
|
Carle Foundation Hospital
Urbana, IL |
$4,511 | $658 |
|
Northwestern Medical Center Inc
Saint Albans, VT |
$4,744 | $1,524 |
|
Broadlawns Medical Center
Des Moines, IA |
$5,199 | $2,763 |
|
Rochester General Hospital
Rochester, NY |
$5,625 | $1,870 |
|
Emerson Hospital -
W Concord, MA |
$6,808 | $3,228 |
|
South Shore Hospital
South Weymouth, MA |
$6,979 | $3,458 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$6,996 | $2,738 |
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 |
|---|---|---|
|
Hca Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL |
$121,920 | $2,916 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$105,388 | $3,958 |
|
Grandview Medical Center
Birmingham, AL |
$81,941 | $2,680 |
|
Cjw Medical Center
Richmond, VA |
$80,742 | $2,772 |
|
Tampa General Hospital
Tampa, FL |
$75,132 | $2,916 |
|
Wesley Medical Center
Wichita, KS |
$64,333 | $2,749 |
|
Stanford Health Care
Stanford, CA |
$63,271 | $3,573 |
|
Memorial Hermann - Texas Medical Center
Houston, TX |
$61,729 | $2,985 |
|
Trident Medical Center
Charleston, SC |
$60,681 | $2,778 |
|
Loma Linda University Medical Center
Loma Linda, CA |
$58,168 | $3,959 |
|
Mercy Health St Ritas Medical Center
Lima, OH |
$57,509 | $2,754 |
|
Providence Santa Rosa Memorial Hospital
Santa Rosa, CA |
$54,317 | $4,509 |
Questions people ask
What do U.S. hospitals charge for Level 4 ENT Procedures?
Across 378 U.S. hospitals, the middle charge for Level 4 ENT Procedures is $18,952. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $13,556 and the dearest quarter over $27,052.
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 4 ENT Procedures, the hospitals in the dearest tenth charge about 4.0x 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. $2,934 is roughly what Medicare actually paid per case, against an average charge of $20,680. 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 5164: “Level 4 ENT Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.