Cochlear Implant Procedure in North Carolina
What 10 hospitals in North Carolina charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$97,844
Hospital list price billed
Average allowed
$29,926
Medicare's payment + patient's share
Medicare paid
$28,300
Average per service
State rank
#17 of 38
1 = lowest average payment
Hospitals in North Carolina billed an average of $97,844 for cochlear implant procedure, about 3.3 times the average medicare-allowed amount of $29,926. 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 $29,926Billed $97,844
About 31¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: cochlear implant procedure
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UNC HospitalsChapel Hill | 82 | $56,050 | $29,552 | $27,932 |
| Duke University Medical CenterDurham | 31 | $164,817 | $30,158 | $28,526 |
| Presbyterian HospitalCharlotte | 19 | $119,917 | $30,043 | $28,411 |
| North Carolina Baptist HospitalWinston-Salem | 14 | $169,552 | $30,475 | $28,843 |
| New Hanover Regional Medical CenterWilmington | 11 | $91,260 | $31,160 | $29,528 |
| Carolinas Medical Center-NortheastConcord | – | – | – | – |
| Forsyth Memorial HospitalWinston-Salem | – | – | – | – |
| ECU Health Medical CenterGreenville | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Carolinas Medical Center/Behav HealthCharlotte | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| UNC HospitalsChapel Hill, NC | $29,552 |
|---|---|
| Presbyterian HospitalCharlotte, NC | $30,043 |
| Duke University Medical CenterDurham, NC | $30,158 |
| North Carolina Baptist HospitalWinston-Salem, NC | $30,475 |
| New Hanover Regional Medical CenterWilmington, NC | $31,160 |
Highest
| New Hanover Regional Medical CenterWilmington, NC | $31,160 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $30,475 |
| Duke University Medical CenterDurham, NC | $30,158 |
| Presbyterian HospitalCharlotte, NC | $30,043 |
| UNC HospitalsChapel Hill, NC | $29,552 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in North Carolina?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 10 hospitals in North Carolina was billed at $97,844 on average, while the average medicare-allowed amount was $29,926, of which Medicare paid $28,300. 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 North Carolina, average charges were 3.3 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.