Cochlear Implant Procedure in Texas
What 30 hospitals in Texas charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$235,891
Hospital list price billed
Average allowed
$30,164
Medicare's payment + patient's share
Medicare paid
$28,532
Average per service
State rank
#21 of 38
1 = lowest average payment
Hospitals in Texas billed an average of $235,891 for cochlear implant procedure, about 7.8 times the average medicare-allowed amount of $30,164. That payment is 3% 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 $30,164Billed $235,891
About 13¢ was paid for every $1 hospitals in Texas billed for this service.
Texas hospitals: cochlear implant procedure
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Texas
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
| Legent Surgical Hospital PlanoPlano, TX | $27,501 |
|---|---|
| Seton Medical Center AustinAustin, TX | $29,429 |
| UT Southwestern University HospitalDallas, TX | $30,088 |
| St Lukes Episcopal HospitalHouston, TX | $31,001 |
| Methodist Hospital,TheHouston, TX | $31,001 |
Highest
| Hendrick Health SystemAbilene, TX | $31,381 |
|---|---|
| St Lukes Episcopal HospitalHouston, TX | $31,001 |
| Methodist Hospital,TheHouston, TX | $31,001 |
| UT Southwestern University HospitalDallas, TX | $30,088 |
| Seton Medical Center AustinAustin, TX | $29,429 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Texas?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 30 hospitals in Texas was billed at $235,891 on average, while the average medicare-allowed amount was $30,164, of which Medicare paid $28,532. 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 Texas, average charges were 7.8 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.