facebook tracking Cochlear Implant Procedure cost in Indiana: 9 hospitals compared (APC 5166)

Cochlear Implant Procedure in Indiana

What 9 hospitals in Indiana charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $141,082 Hospital list price billed
Average allowed $29,546 Medicare's payment + patient's share
Medicare paid $27,908 Average per service
State rank #15 of 38 1 = lowest average payment

Hospitals in Indiana billed an average of $141,082 for cochlear implant procedure, about 4.8 times the average medicare-allowed amount of $29,546. 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 $29,546Billed $141,082

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

Indiana hospitals: cochlear implant procedure

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

Hospital Services Avg charge Avg allowed Medicare paid
Clarian Health PartnersIndianapolis 22 $120,755 $29,154 $27,511
St Vincent Hospital & Health ServicesIndianapolis 19 $164,618 $30,001 $28,369
Franciscan St Anthony Health - Michigan CityMichigan City – – – –
Parkview HospitalFort Wayne – – – –
Memorial Hospital of South BendSouth Bend – – – –
Franciscan St Margaret Health - DyerDyer – – – –
Community HospitalMunster – – – –
Community Hospital SouthIndianapolis – – – –
Franciscan Health IndianapolisIndianapolis – – – –
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Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Indiana?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 9 hospitals in Indiana was billed at $141,082 on average, while the average medicare-allowed amount was $29,546, of which Medicare paid $27,908. 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 Indiana, average charges were 4.8 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.