Cochlear Implant Procedure in Massachusetts
What 7 hospitals in Massachusetts charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$71,776
Hospital list price billed
Average allowed
$35,901
Medicare's payment + patient's share
Medicare paid
$34,267
Average per service
State rank
#35 of 38
1 = lowest average payment
Hospitals in Massachusetts billed an average of $71,776 for cochlear implant procedure, about 2.0 times the average medicare-allowed amount of $35,901. That payment is 15% 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 $35,901Billed $71,776
About 50¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: cochlear implant procedure
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston | 78 | $60,849 | $35,901 | $34,266 |
| Umass Memorial Medical Center INCWorcester | 15 | $147,475 | $35,901 | $34,269 |
| Lahey Clinic HospitalBurlington | 12 | $63,645 | $35,901 | $34,269 |
| Tufts Medical CenterBoston | 11 | $54,899 | $35,901 | $34,269 |
| Baystate Medical CenterSpringfield | – | – | – | – |
| Beth Israel Deaconess Medical CenterBoston | – | – | – | – |
| Brigham and Women's HosptialBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Tufts Medical CenterBoston, MA | $35,901 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $35,901 |
| Lahey Clinic HospitalBurlington, MA | $35,901 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | $35,901 |
Highest
| Massachusetts Eye and Ear InfirmaryBoston, MA | $35,901 |
|---|---|
| Tufts Medical CenterBoston, MA | $35,901 |
| Umass Memorial Medical Center INCWorcester, MA | $35,901 |
| Lahey Clinic HospitalBurlington, MA | $35,901 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Massachusetts?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 7 hospitals in Massachusetts was billed at $71,776 on average, while the average medicare-allowed amount was $35,901, of which Medicare paid $34,267. 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 Massachusetts, average charges were 2.0 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.