Cochlear Implant Procedure in California
What 24 hospitals in California charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$159,280
Hospital list price billed
Average allowed
$42,990
Medicare's payment + patient's share
Medicare paid
$41,354
Average per service
State rank
#38 of 38
1 = lowest average payment
Hospitals in California billed an average of $159,280 for cochlear implant procedure, about 3.7 times the average medicare-allowed amount of $42,990. That payment is 38% above the U.S. average 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.
Paid $42,990Billed $159,280
About 27¢ was paid for every $1 hospitals in California billed for this service.
California hospitals: cochlear implant procedure
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in California
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
| University of California San Diego Medical CenterSan Diego, CA | $41,094 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $41,094 |
| Saint John's Health CenterSanta Monica, CA | $41,094 |
| UCI Health-OrangeOrange, CA | $41,094 |
| USC University HospitalLos Angeles, CA | $41,094 |
Highest
| Stanford HospitalPalo Alto, CA | $47,063 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $47,063 |
| Mercy General HospitalSacramento, CA | $42,687 |
| University of California Davis Medical CenterSacramento, CA | $41,663 |
| Good Samaritan HospitalLos Angeles, CA | $41,094 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in California?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 24 hospitals in California was billed at $159,280 on average, while the average medicare-allowed amount was $42,990, of which Medicare paid $41,354. 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 California, average charges were 3.7 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.