Cochlear Implant Procedure in Pennsylvania
What 14 hospitals in Pennsylvania charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$161,610
Hospital list price billed
Average allowed
$32,643
Medicare's payment + patient's share
Medicare paid
$30,996
Average per service
State rank
#29 of 38
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $161,610 for cochlear implant procedure, about 5.0 times the average medicare-allowed amount of $32,643. That payment is 5% 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 $32,643Billed $161,610
About 20¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: cochlear implant procedure
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 45 | $200,678 | $32,591 | $30,934 |
| Thomas Jefferson University HospitalPhiladelphia | 16 | $97,146 | $31,884 | $30,252 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 14 | $109,706 | $33,680 | $32,048 |
| Holy Spirit HospitalCamp Hill | – | – | – | – |
| Geisinger Medical CenterDanville | – | – | – | – |
| Saint Vincent Health CenterErie | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Reading Hospital and Med CtrWest Reading | – | – | – | – |
| St Luke's Hospital BethlehemBethlehem | – | – | – | – |
| Allegheny General HospitalPittsburgh | – | – | – | – |
| UPMC Pinnacle HospitalsHarrisburg | – | – | – | – |
| Lehigh Valley HospitalAllentown | – | – | – | – |
| UPMC Presbyterian ShadysidePittsburgh | – | – | – | – |
| Milton S Hershey Medical CenterHershey | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Thomas Jefferson University HospitalPhiladelphia, PA | $31,884 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $32,591 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $33,680 |
Highest
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $33,680 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $32,591 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $31,884 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Pennsylvania?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 14 hospitals in Pennsylvania was billed at $161,610 on average, while the average medicare-allowed amount was $32,643, of which Medicare paid $30,996. 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 Pennsylvania, average charges were 5.0 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.