Cochlear Implant Procedure in Missouri
What 14 hospitals in Missouri charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$123,369
Hospital list price billed
Average allowed
$16,913
Medicare's payment + patient's share
Medicare paid
$14,735
Average per service
State rank
#1 of 38
1 = lowest average payment
Hospitals in Missouri billed an average of $123,369 for cochlear implant procedure, about 7.3 times the average medicare-allowed amount of $16,913. That payment is 46% 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 $16,913Billed $123,369
About 14¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: cochlear implant procedure
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes-Jewish West County HospitalSt Louis | 53 | $121,955 | $11,758 | $9,332 |
| University Hospitals & ClinicsColumbia | 13 | $125,829 | $28,452 | $26,820 |
| Mercy Hospital SpringfieldSpringfield | 11 | $127,273 | $28,115 | $26,483 |
| St John's Mercy Medical CenterSt Louis | – | – | – | – |
| Barnes Jewish HospitalSt Louis | – | – | – | – |
| Lester E Cox Medical CentersSpringfield | – | – | – | – |
| Boone Hospital CenterColumbia | – | – | – | – |
| SSM St Joseph Hosp of KirkwoodSt Louis | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| St Louis University HospitalSt Louis | – | – | – | – |
| Missouri Baptist Medical CenterTown and Country | – | – | – | – |
| Freeman Health System - Freeman WestJoplin | – | – | – | – |
| St Lukes Hospital of Kansas CityKansas City | – | – | – | – |
| St Lukes HospitalChesterfield | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Barnes-Jewish West County HospitalSt Louis, MO | $11,758 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $28,115 |
| University Hospitals & ClinicsColumbia, MO | $28,452 |
Highest
| University Hospitals & ClinicsColumbia, MO | $28,452 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $28,115 |
| Barnes-Jewish West County HospitalSt Louis, MO | $11,758 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Missouri?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 14 hospitals in Missouri was billed at $123,369 on average, while the average medicare-allowed amount was $16,913, of which Medicare paid $14,735. 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 Missouri, average charges were 7.3 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.