facebook tracking Cochlear Implant Procedure cost in Michigan: 11 hospitals compared (APC 5166)

Cochlear Implant Procedure in Michigan

What 11 hospitals in Michigan charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $97,087 Hospital list price billed
Average allowed $30,022 Medicare's payment + patient's share
Medicare paid $28,390 Average per service
State rank #19 of 38 1 = lowest average payment

Hospitals in Michigan billed an average of $97,087 for cochlear implant procedure, about 3.2 times the average medicare-allowed amount of $30,022. That payment is 4% 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 $30,022Billed $97,087

About 31¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: cochlear implant procedure

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

Hospital Services Avg charge Avg allowed Medicare paid
Providence Hospital and Medical CentersSouthfield 45 $82,016 $29,855 $28,223
Bay Regional Medical CenterBay City 19 $124,211 $29,799 $28,167
Univ of Michigan HospitalsAnn Arbor 13 $109,612 $30,928 $29,296
Bronson Methodist HospitalKalamazoo – – – –
Lakeland Hospital, St JosephSt Joseph – – – –
Spectrum Health - Butterworth CampusGrand Rapids – – – –
Henry Ford HospitalDetroit – – – –
Covenant Medical Center, INCSaginaw – – – –
Holland Community HospitalHolland – – – –
Harper University HospitalDetroit – – – –
Henry Ford West Bloomfield HospitalWest Bloomfield Twp – – – –
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Lowest and highest allowed amounts in Michigan

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

Bay Regional Medical CenterBay City, MI$29,799
Providence Hospital and Medical CentersSouthfield, MI$29,855
Univ of Michigan HospitalsAnn Arbor, MI$30,928

Highest

Univ of Michigan HospitalsAnn Arbor, MI$30,928
Providence Hospital and Medical CentersSouthfield, MI$29,855
Bay Regional Medical CenterBay City, MI$29,799

Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Michigan?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 11 hospitals in Michigan was billed at $97,087 on average, while the average medicare-allowed amount was $30,022, of which Medicare paid $28,390. 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 Michigan, average charges were 3.2 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.