Cochlear Implant Procedure in Oregon
What 6 hospitals in Oregon charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$94,712
Hospital list price billed
Average allowed
$35,076
Medicare's payment + patient's share
Medicare paid
$33,435
Average per service
State rank
#34 of 38
1 = lowest average payment
Hospitals in Oregon billed an average of $94,712 for cochlear implant procedure, about 2.7 times the average medicare-allowed amount of $35,076. That payment is 13% 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 $35,076Billed $94,712
About 37¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: cochlear implant procedure
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 35 | $104,527 | $35,076 | $33,431 |
| Legacy Emanuel Medical CenterPortland | 14 | $70,176 | $35,076 | $33,444 |
| Providence St Vincent Medical CenterPortland | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| St Charles Medical Center - BendBend | – | – | – | – |
| Providence Medford Medical CenterMedford | – | – | – | – |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Oregon?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 6 hospitals in Oregon was billed at $94,712 on average, while the average medicare-allowed amount was $35,076, of which Medicare paid $33,435. 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 Oregon, average charges were 2.7 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.