Cochlear Implant Procedure in Maine
What 1 hospital in Maine charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$240,872
Hospital list price billed
Average allowed
$28,931
Medicare's payment + patient's share
Medicare paid
$27,299
Average per service
Volume
12
Medicare services
Hospitals in Maine billed an average of $240,872 for cochlear implant procedure, about 8.3 times the average medicare-allowed amount of $28,931. 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 $28,931Billed $240,872
About 12¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: cochlear implant procedure
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 12 | $240,872 | $28,931 | $27,299 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Maine?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 1 hospital in Maine was billed at $240,872 on average, while the average medicare-allowed amount was $28,931, of which Medicare paid $27,299. 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 Maine, average charges were 8.3 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.