facebook tracking Cochlear Implant Procedure cost in Idaho: 2 hospitals compared (APC 5166)

Cochlear Implant Procedure in Idaho

What 2 hospitals in Idaho charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $70,991 Hospital list price billed
Average allowed $29,635 Medicare's payment + patient's share
Medicare paid $27,996 Average per service
Volume 48 Medicare services

Hospitals in Idaho billed an average of $70,991 for cochlear implant procedure, about 2.4 times the average medicare-allowed amount of $29,635. That payment is 5% 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 $29,635Billed $70,991

About 42¢ was paid for every $1 hospitals in Idaho billed for this service.

Idaho hospitals: cochlear implant procedure

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

Hospital Services Avg charge Avg allowed Medicare paid
St Lukes Regional Medical CenterBoise 48 $70,991 $29,635 $27,996
Mountain View HospitalIdaho Falls – – – –
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Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Idaho?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 2 hospitals in Idaho was billed at $70,991 on average, while the average medicare-allowed amount was $29,635, of which Medicare paid $27,996. 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 Idaho, average charges were 2.4 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.