Cochlear Implant Procedure
What 364 hospitals in the U.S. charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$138,569
Hospital list price billed
Average allowed
$31,142
Medicare's payment + patient's share
Medicare paid
$29,489
Average per service
Volume
3,240
Medicare services
Hospitals in the U.S. billed an average of $138,569 for cochlear implant procedure, about 4.4 times the average medicare-allowed amount of $31,142.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Barnes-Jewish West County HospitalSt Louis, MO | $11,758 |
|---|---|
| Shands Hospital at the University of FloridaGainesville, FL | $20,272 |
| West Virginia University HospitalsMorgantown, WV | $25,466 |
| MUSC Medical CenterCharleston, SC | $26,180 |
| Lee Memorial HospitalFort Myers, FL | $26,343 |
| Parkwest Medical CenterKnoxville, TN | $26,650 |
| Saint Francis Hospital, INCTulsa, OK | $27,323 |
| Vanderbilt University HospitalNashville, TN | $27,343 |
| University of Arkansas Medical SciencesLittle Rock, AR | $27,759 |
| University Hospitals of ClevelandCleveland, OH | $27,816 |
Highest
| Stanford HospitalPalo Alto, CA | $47,063 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $47,063 |
| University of California Davis Medical CenterSacramento, CA | $41,663 |
| Good Samaritan HospitalLos Angeles, CA | $41,094 |
| University of California San Diego Medical CenterSan Diego, CA | $41,094 |
| UCLA Medical CenterLos Angeles, CA | $41,094 |
| NYU Hospitals CenterNew York, NY | $36,907 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | $35,901 |
| OHSU Hospital and ClinicsPortland, OR | $35,076 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $34,437 |
Cochlear Implant Procedure cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 6 | $78,377 | $27,913 | $27,913 – $27,913 |
| Alaska | 1 | $95,946 | $34,505 | – |
| Arizona | 7 | $135,510 | $32,419 | $30,412 – $32,600 |
| Arkansas | 6 | $96,975 | $28,786 | $27,759 – $30,710 |
| California | 24 | $159,280 | $42,990 | $41,094 – $47,063 |
| Colorado | 8 | $355,931 | $31,826 | $31,826 – $31,826 |
| Connecticut | 5 | $85,343 | $36,447 | $36,447 – $36,447 |
| Delaware | 3 | $208,711 | $33,541 | $33,541 – $33,541 |
| Florida | 14 | $168,219 | $28,118 | $20,272 – $30,286 |
| Georgia | 8 | $120,692 | $30,721 | $29,974 – $31,028 |
| Hawaii | 2 | – | – | – – – |
| Idaho | 2 | $70,991 | $29,635 | $29,635 – $29,635 |
| Illinois | 18 | $148,676 | $31,526 | $29,499 – $32,658 |
| Indiana | 9 | $141,082 | $29,546 | $29,154 – $30,001 |
| Iowa | 3 | $87,776 | $28,723 | $28,602 – $28,750 |
| Kansas | 3 | $199,368 | $28,913 | $28,546 – $29,307 |
| Kentucky | 7 | $186,757 | $28,836 | $28,574 – $28,955 |
| Louisiana | 8 | $120,020 | $28,079 | $27,800 – $28,272 |
| Maine | 1 | $240,872 | $28,931 | – |
| Massachusetts | 7 | $71,776 | $35,901 | $35,901 – $35,901 |
| Michigan | 11 | $97,087 | $30,022 | $29,799 – $30,928 |
| Minnesota | 7 | $84,495 | $33,568 | $29,450 – $34,437 |
| Mississippi | 3 | $61,162 | $27,991 | $27,991 – $27,991 |
| Missouri | 14 | $123,369 | $16,913 | $11,758 – $28,452 |
| Montana | 3 | $69,218 | $30,991 | $29,901 – $31,439 |
| Nebraska | 7 | $129,935 | $30,128 | $30,128 – $30,128 |
| New Hampshire | 2 | $109,047 | $32,777 | $32,777 – $32,777 |
| New Jersey | 8 | $137,976 | $34,804 | $34,627 – $34,997 |
| New Mexico | 2 | $48,742 | $29,592 | $29,592 – $29,592 |
| New York | 19 | $208,899 | $36,718 | $35,401 – $38,037 |
| North Carolina | 10 | $97,844 | $29,926 | $29,552 – $31,160 |
| North Dakota | 1 | $100,817 | $30,807 | – |
| Ohio | 15 | $116,791 | $28,781 | $27,684 – $30,007 |
| Oklahoma | 7 | $117,783 | $28,365 | $27,323 – $28,807 |
| Oregon | 6 | $94,712 | $35,076 | $35,076 – $35,076 |
| Pennsylvania | 14 | $161,610 | $32,643 | $31,884 – $33,680 |
| Rhode Island | 2 | – | – | – – – |
| South Carolina | 5 | $122,418 | $27,591 | $26,180 – $28,841 |
| South Dakota | 6 | $133,275 | $31,345 | $31,345 – $31,345 |
| Tennessee | 5 | $110,515 | $27,353 | $26,650 – $28,145 |
| Texas | 30 | $235,891 | $30,164 | $27,501 – $31,381 |
| Utah | 9 | $85,481 | $29,951 | $29,951 – $29,951 |
| Vermont | 1 | – | – | – |
| Virginia | 9 | $86,180 | $29,809 | $28,848 – $30,699 |
| Washington | 10 | $125,669 | $33,506 | $33,479 – $33,553 |
| West Virginia | 4 | $96,557 | $25,466 | $25,466 – $25,466 |
| Wisconsin | 9 | $91,905 | $31,093 | $30,103 – $31,460 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Vanderbilt University HospitalNashville, TN | 89 | $109,490 | $27,343 |
| Ascentist HospitalLeawood, KS | 84 | $259,101 | $28,871 |
| UNC HospitalsChapel Hill, NC | 82 | $56,050 | $29,552 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | 78 | $60,849 | $35,901 |
| University of Iowa Hospital & ClinicsIowa City, IA | 76 | $83,772 | $28,750 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 71 | $80,631 | $34,437 |
| Swedish Medical CenterEnglewood, CO | 70 | $410,311 | $31,826 |
| Barnes-Jewish West County HospitalSt Louis, MO | 53 | $121,955 | $11,758 |
| MUSC Medical CenterCharleston, SC | 50 | $109,119 | $26,180 |
| St Lukes Regional Medical CenterBoise, ID | 48 | $70,991 | $29,635 |
| Mayo Clinic HospitalPhoenix, AZ | 45 | $87,522 | $32,600 |
| Providence Hospital and Medical CentersSouthfield, MI | 45 | $82,016 | $29,855 |
| NYU Hospitals CenterNew York, NY | 45 | $397,717 | $36,907 |
| Sanford Medical Center FargoFargo, ND | 45 | $100,817 | $30,807 |
| Hospital of the Univ of PaPhiladelphia, PA | 45 | $200,678 | $32,591 |
Questions
How much does cochlear implant procedure cost in the U.S.?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 364 hospitals in the U.S. was billed at $138,569 on average, while the average medicare-allowed amount was $31,142, of which Medicare paid $29,489. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cochlear implant procedure?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($42,990), New York ($36,718), Connecticut ($36,447) and lowest in Missouri ($16,913), West Virginia ($25,466), Tennessee ($27,353).
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 the U.S., average charges were 4.4 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.