Cochlear Implant Procedure in Kentucky
What 7 hospitals in Kentucky charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$186,757
Hospital list price billed
Average allowed
$28,836
Medicare's payment + patient's share
Medicare paid
$27,201
Average per service
State rank
#13 of 38
1 = lowest average payment
Hospitals in Kentucky billed an average of $186,757 for cochlear implant procedure, about 6.5 times the average medicare-allowed amount of $28,836. That payment is 7% 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 $28,836Billed $186,757
About 15¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: cochlear implant procedure
Every Kentucky 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 Kentucky HospLexington | 25 | $113,158 | $28,955 | $27,317 |
| The Medical Center at Bowling GreenBowling Green | 16 | $151,998 | $28,888 | $27,256 |
| Jewish HospitalLouisville | 14 | $225,941 | $28,807 | $27,169 |
| Norton Healthcare PavilionLouisville | 13 | $328,876 | $28,574 | $26,942 |
| St Elizabeth Med Center-SouthEdgewood | – | – | – | – |
| Ephraim McDowell Regional Medical CenterDanville | – | – | – | – |
| Saint Joseph EastLexington | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Norton Healthcare PavilionLouisville, KY | $28,574 |
|---|---|
| Jewish HospitalLouisville, KY | $28,807 |
| The Medical Center at Bowling GreenBowling Green, KY | $28,888 |
| University of Kentucky HospLexington, KY | $28,955 |
Highest
| University of Kentucky HospLexington, KY | $28,955 |
|---|---|
| The Medical Center at Bowling GreenBowling Green, KY | $28,888 |
| Jewish HospitalLouisville, KY | $28,807 |
| Norton Healthcare PavilionLouisville, KY | $28,574 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Kentucky?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 7 hospitals in Kentucky was billed at $186,757 on average, while the average medicare-allowed amount was $28,836, of which Medicare paid $27,201. 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 Kentucky, average charges were 6.5 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.