Level 5 ENT Procedures — what U.S. hospitals charge
APC 5165 · Hospital outpatient visit · 744 U.S. hospitals publish a price
Cheapest quarter
under $25,588
Typical charge
$34,358
Dearest quarter
over $47,471
Actually paid
$5,563
The middle U.S. hospital bills $34,358 for Level 5 ENT Procedures. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $5,563 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 5 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 |
|---|---|---|---|
| Arkansas | 10 | $19,293 | $9,814 – $43,987 |
| Montana | 6 | $19,739 | $14,881 – $40,414 |
| North Dakota | 5 | $21,543 | $16,937 – $27,548 |
| Massachusetts | 20 | $22,274 | $10,470 – $54,407 |
| Idaho | 8 | $22,742 | $16,541 – $68,306 |
| Utah | 7 | $23,545 | $18,082 – $31,163 |
| Iowa | 9 | $24,050 | $16,146 – $33,998 |
| Minnesota | 14 | $24,392 | $17,911 – $37,718 |
| Mississippi | 7 | $25,582 | $15,372 – $37,311 |
| Tennessee | 12 | $26,423 | $10,432 – $54,238 |
| North Carolina | 18 | $26,607 | $17,300 – $59,720 |
| West Virginia | 6 | $26,613 | $5,493 – $39,121 |
| Wisconsin | 18 | $27,422 | $5,884 – $51,974 |
| Nebraska | 9 | $27,757 | $15,522 – $53,950 |
| Maine | 4 | $27,868 | $22,466 – $32,319 |
| Missouri | 15 | $27,904 | $17,908 – $48,184 |
| New York | 38 | $28,114 | $13,501 – $65,316 |
| Connecticut | 10 | $28,116 | $20,049 – $71,360 |
| Hawaii | 3 | $29,933 | $21,628 – $34,345 |
| Michigan | 24 | $29,962 | $15,705 – $49,970 |
| Louisiana | 14 | $31,200 | $15,239 – $93,856 |
| Oregon | 9 | $31,815 | $20,878 – $49,871 |
| South Dakota | 8 | $32,245 | $16,504 – $41,834 |
| Kansas | 12 | $32,558 | $10,868 – $82,266 |
| Alabama | 9 | $32,603 | $11,912 – $132,673 |
| New Jersey | 16 | $32,842 | $16,516 – $51,127 |
| Ohio | 34 | $34,236 | $16,618 – $71,013 |
| Washington | 22 | $35,389 | $19,601 – $61,488 |
| Kentucky | 10 | $35,457 | $14,650 – $47,495 |
| New Hampshire | 4 | $36,376 | $22,644 – $48,443 |
| Oklahoma | 12 | $36,701 | $14,457 – $76,848 |
| Texas | 56 | $36,842 | $15,091 – $112,493 |
| Illinois | 35 | $37,563 | $16,115 – $88,540 |
| Arizona | 14 | $38,064 | $18,717 – $79,545 |
| Virginia | 19 | $38,547 | $19,181 – $109,975 |
| Indiana | 20 | $39,189 | $17,600 – $68,744 |
| South Carolina | 14 | $39,369 | $19,370 – $86,102 |
| Georgia | 24 | $43,831 | $26,062 – $63,504 |
| Pennsylvania | 35 | $43,940 | $13,561 – $96,470 |
| District of Columbia | 3 | $44,034 | $43,884 – $69,980 |
| Colorado | 12 | $47,201 | $29,931 – $98,249 |
| California | 61 | $48,741 | $28,173 – $131,773 |
| New Mexico | 7 | $49,091 | $17,829 – $70,326 |
| Florida | 37 | $58,552 | $26,903 – $178,993 |
| Nevada | 6 | $78,287 | $29,156 – $126,644 |
Where Level 5 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 |
|---|---|---|
|
Camc Charleston Surgical Hospital
Charleston, WV |
$5,493 | $4,964 |
|
Beloit Health System
Beloit, WI |
$5,884 | $5,696 |
|
St Bernards Medical Center
Jonesboro, AR |
$9,814 | $4,940 |
|
Parkwest Medical Center
Knoxville, TN |
$10,432 | $4,830 |
|
Beth Israel Deaconess Hospital - Needham
Needham, MA |
$10,470 | $6,289 |
|
Northeast Hospital Corporation
Beverly, MA |
$10,650 | $6,289 |
|
Salina Surgical Hospital
Salina, KS |
$10,868 | $5,000 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$11,558 | $4,879 |
|
Thomas Hospital
Fairhope, AL |
$11,912 | $4,416 |
|
Merrimack Health Lawrence Hospital
Lawrence, MA |
$12,993 | $6,289 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$13,381 | $6,117 |
|
Erie County Medical Center
Buffalo, NY |
$13,501 | $6,209 |
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 |
$178,993 | $5,305 |
|
Manatee Memorial Hospital
Bradenton, FL |
$134,975 | $5,305 |
|
Grandview Medical Center
Birmingham, AL |
$132,673 | $4,873 |
|
Providence Santa Rosa Memorial Hospital
Santa Rosa, CA |
$131,773 | $8,201 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$128,723 | $7,200 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$126,644 | $6,061 |
|
Stanford Health Care
Stanford, CA |
$121,432 | $7,946 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$120,410 | $5,972 |
|
Riverside Community Hospital
Riverside, CA |
$113,843 | $7,200 |
|
Hca Houston Healthcare Clear Lake
Webster, TX |
$112,493 | $5,430 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$111,710 | $7,150 |
|
Cjw Medical Center
Richmond, VA |
$109,975 | $5,041 |
Questions people ask
What do U.S. hospitals charge for Level 5 ENT Procedures?
Across 744 U.S. hospitals, the middle charge for Level 5 ENT Procedures is $34,358. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $25,588 and the dearest quarter over $47,471.
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 5 ENT Procedures, the hospitals in the dearest tenth charge about 3.3x 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. $5,563 is roughly what Medicare actually paid per case, against an average charge of $41,129. 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 5165: “Level 5 ENT Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.