facebook tracking Cochlear Implant Procedure cost in Illinois: 18 hospitals compared (APC 5166)

Cochlear Implant Procedure in Illinois

What 18 hospitals in Illinois charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $148,676 Hospital list price billed
Average allowed $31,526 Medicare's payment + patient's share
Medicare paid $29,894 Average per service
State rank #26 of 38 1 = lowest average payment

Hospitals in Illinois billed an average of $148,676 for cochlear implant procedure, about 4.7 times the average medicare-allowed amount of $31,526. That payment is 1% 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 $31,526Billed $148,676

About 21¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: cochlear implant procedure

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

Hospital Services Avg charge Avg allowed Medicare paid
Loyola University Medical CenterMaywood 25 $86,027 $31,280 $29,648
Evanston HospitalEvanston 18 $132,821 $29,499 $27,867
Carle Foundation HospitalUrbana 17 $126,515 $30,898 $29,266
Northwestern Memorial HospitalChicago 17 $154,603 $32,515 $30,883
Delnor Community HospitalGeneva 13 $283,643 $32,658 $31,026
The University of Chicago Medical CenterChicago 11 $235,829 $32,515 $30,883
Rush University Medical CenterChicago 11 $95,431 $32,515 $30,883
Provena St Joseph Medical CenterJoliet – – – –
St Johns HospitalSpringfield – – – –
Saint Francis Medical CenterPeoria – – – –
Morris Hospital & Healthcare CentersMorris – – – –
Hinsdale HospitalHinsdale – – – –
Memorial Medical CenterSpringfield – – – –
University of Illinois Hospital and ClinicsChicago – – – –
Provena St Marys HospitalKankakee – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Advocate Good Shepherd HospitalBarrington – – – –
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Lowest and highest allowed amounts in Illinois

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Illinois?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 18 hospitals in Illinois was billed at $148,676 on average, while the average medicare-allowed amount was $31,526, of which Medicare paid $29,894. 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 Illinois, average charges were 4.7 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.