facebook tracking Cochlear Implant Procedure cost in Tennessee: 5 hospitals compared (APC 5166)

Cochlear Implant Procedure in Tennessee

What 5 hospitals in Tennessee charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $110,515 Hospital list price billed
Average allowed $27,353 Medicare's payment + patient's share
Medicare paid $25,718 Average per service
State rank #3 of 38 1 = lowest average payment

Hospitals in Tennessee billed an average of $110,515 for cochlear implant procedure, about 4.0 times the average medicare-allowed amount of $27,353. That payment is 12% 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 $27,353Billed $110,515

About 25¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: cochlear implant procedure

Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Vanderbilt University HospitalNashville 89 $109,490 $27,343 $25,710
Parkwest Medical CenterKnoxville 28 $135,368 $26,650 $25,006
Methodist Healthcare-MemphisMemphis 26 $87,256 $28,145 $26,513
Univ of Tn Mem HospitalKnoxville – – – –
Vanderbilt Wilson County HospitalLebanon – – – –
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Lowest and highest allowed amounts in Tennessee

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

Parkwest Medical CenterKnoxville, TN$26,650
Vanderbilt University HospitalNashville, TN$27,343
Methodist Healthcare-MemphisMemphis, TN$28,145

Highest

Methodist Healthcare-MemphisMemphis, TN$28,145
Vanderbilt University HospitalNashville, TN$27,343
Parkwest Medical CenterKnoxville, TN$26,650

Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Tennessee?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 5 hospitals in Tennessee was billed at $110,515 on average, while the average medicare-allowed amount was $27,353, of which Medicare paid $25,718. 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 Tennessee, average charges were 4.0 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.