Cochlear Implant Procedure in New Jersey
What 8 hospitals in New Jersey charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$137,976
Hospital list price billed
Average allowed
$34,804
Medicare's payment + patient's share
Medicare paid
$33,172
Average per service
State rank
#33 of 38
1 = lowest average payment
Hospitals in New Jersey billed an average of $137,976 for cochlear implant procedure, about 4.0 times the average medicare-allowed amount of $34,804. That payment is 12% 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 $34,804Billed $137,976
About 25¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: cochlear implant procedure
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Robert Wood Johnson University HospitalNew Brunswick | 12 | $148,217 | $34,627 | $32,995 |
| Jefferson Stratford HospitalCherry Hill | 11 | $126,804 | $34,997 | $33,365 |
| Raritan Bay Medical CenterPerth Amboy | – | – | – | – |
| Englewood Hospital and Medical CenterEnglewood | – | – | – | – |
| Overlook HospitalSummit | – | – | – | – |
| Jersey Shore University Medical CenterNeptune City | – | – | – | – |
| Saint Barnabas Medical CenterLivingston | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in New Jersey?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 8 hospitals in New Jersey was billed at $137,976 on average, while the average medicare-allowed amount was $34,804, of which Medicare paid $33,172. 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 New Jersey, average charges were 4.0 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.