facebook tracking Cochlear Implant Procedure cost in Georgia: 8 hospitals compared (APC 5166)

Cochlear Implant Procedure in Georgia

What 8 hospitals in Georgia charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $120,692 Hospital list price billed
Average allowed $30,721 Medicare's payment + patient's share
Medicare paid $29,090 Average per service
State rank #22 of 38 1 = lowest average payment

Hospitals in Georgia billed an average of $120,692 for cochlear implant procedure, about 3.9 times the average medicare-allowed amount of $30,721. That payment is 1% below 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 $30,721Billed $120,692

About 25¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: cochlear implant procedure

Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Northside HospitalAtlanta 23 $91,776 $31,028 $29,396
North Fulton Regional HospitalRoswell 23 $151,165 $29,974 $28,347
Wellstar Kennestone HospitalMarietta 18 $161,306 $31,028 $29,396
Emory University Hospital MidtownAtlanta 15 $69,566 $31,028 $29,396
Northside Hospital CherokeeCanton – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Gwinnett Medical CenterLawrenceville – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
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Lowest and highest allowed amounts in Georgia

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

North Fulton Regional HospitalRoswell, GA$29,974
Wellstar Kennestone HospitalMarietta, GA$31,028
Emory University Hospital MidtownAtlanta, GA$31,028
Northside HospitalAtlanta, GA$31,028

Highest

Wellstar Kennestone HospitalMarietta, GA$31,028
Emory University Hospital MidtownAtlanta, GA$31,028
Northside HospitalAtlanta, GA$31,028
North Fulton Regional HospitalRoswell, GA$29,974

Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Georgia?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 8 hospitals in Georgia was billed at $120,692 on average, while the average medicare-allowed amount was $30,721, of which Medicare paid $29,090. 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 Georgia, average charges were 3.9 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.