Cochlear Implant Procedure in South Dakota
What 6 hospitals in South Dakota charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$133,275
Hospital list price billed
Average allowed
$31,345
Medicare's payment + patient's share
Medicare paid
$29,713
Average per service
State rank
#25 of 38
1 = lowest average payment
Hospitals in South Dakota billed an average of $133,275 for cochlear implant procedure, about 4.3 times the average medicare-allowed amount of $31,345. That payment is about the same as 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 $31,345Billed $133,275
About 24¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: cochlear implant procedure
Every South Dakota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Avera McKennan Hospital & University Health CenterSioux Falls | 22 | $133,275 | $31,345 | $29,713 |
| Avera Sacred Heart HospitalYankton | – | – | – | – |
| Avera St LukesAberdeen | – | – | – | – |
| Sanford Usd Medical CenterSioux Falls | – | – | – | – |
| Rapid City Regional HospitalRapid City | – | – | – | – |
| Same Day Surgery Center LLCRapid City | – | – | – | – |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in South Dakota?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 6 hospitals in South Dakota was billed at $133,275 on average, while the average medicare-allowed amount was $31,345, of which Medicare paid $29,713. 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 South Dakota, average charges were 4.3 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.