Cochlear Implant Procedure in Ohio
What 15 hospitals in Ohio charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$116,791
Hospital list price billed
Average allowed
$28,781
Medicare's payment + patient's share
Medicare paid
$27,148
Average per service
State rank
#11 of 38
1 = lowest average payment
Hospitals in Ohio billed an average of $116,791 for cochlear implant procedure, about 4.1 times the average medicare-allowed amount of $28,781. That payment is 8% 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 $28,781Billed $116,791
About 25¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: cochlear implant procedure
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Ohio State University HospitalsColumbus | 40 | $136,598 | $30,007 | $28,375 |
| University Hospitals of ClevelandCleveland | 37 | $92,437 | $27,816 | $26,184 |
| Cleveland Clinic - Main CampusCleveland | 29 | $88,196 | $28,544 | $26,912 |
| Kettering Health DaytonDayton | 16 | $146,006 | $29,267 | $27,625 |
| Toledo Hospital theToledo | 13 | $152,991 | $27,684 | $26,052 |
| University Hospital, INCCincinnati | – | – | – | – |
| Riverside Methodist HospitalColumbus | – | – | – | – |
| Mount Carmel St Ann's HospitalWesterville | – | – | – | – |
| Genesis Healthcare SystemZanesville | – | – | – | – |
| Kettering Medical CenterKettering | – | – | – | – |
| Good Samaritan HospitalCincinnati | – | – | – | – |
| St Elizabeth Boardman Health CenterYoungstown | – | – | – | – |
| West Chester Medical CenterWest Chester | – | – | – | – |
| Kettering Health TroyTroy | – | – | – | – |
| Children's Hosp Medical CenterCincinnati | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Toledo Hospital theToledo, OH | $27,684 |
|---|---|
| University Hospitals of ClevelandCleveland, OH | $27,816 |
| Cleveland Clinic - Main CampusCleveland, OH | $28,544 |
| Kettering Health DaytonDayton, OH | $29,267 |
| Ohio State University HospitalsColumbus, OH | $30,007 |
Highest
| Ohio State University HospitalsColumbus, OH | $30,007 |
|---|---|
| Kettering Health DaytonDayton, OH | $29,267 |
| Cleveland Clinic - Main CampusCleveland, OH | $28,544 |
| University Hospitals of ClevelandCleveland, OH | $27,816 |
| Toledo Hospital theToledo, OH | $27,684 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Ohio?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 15 hospitals in Ohio was billed at $116,791 on average, while the average medicare-allowed amount was $28,781, of which Medicare paid $27,148. 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 Ohio, average charges were 4.1 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.