facebook tracking Cochlear Implant Procedure cost in Iowa: 3 hospitals compared (APC 5166)

Cochlear Implant Procedure in Iowa

What 3 hospitals in Iowa charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $87,776 Hospital list price billed
Average allowed $28,723 Medicare's payment + patient's share
Medicare paid $27,100 Average per service
State rank #10 of 38 1 = lowest average payment

Hospitals in Iowa billed an average of $87,776 for cochlear implant procedure, about 3.1 times the average medicare-allowed amount of $28,723. That payment is 8% 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 $28,723Billed $87,776

About 33¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: cochlear implant procedure

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 76 $83,772 $28,750 $27,129
Mercy Medical Center-Des MoinesDes Moines 17 $105,676 $28,602 $26,968
Mercy Medical Center - Cedar RapidsCedar Rapids – – – –
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Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Iowa?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 3 hospitals in Iowa was billed at $87,776 on average, while the average medicare-allowed amount was $28,723, of which Medicare paid $27,100. 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 Iowa, average charges were 3.1 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.