facebook tracking Cochlear Implant Procedure cost in Utah: 9 hospitals compared (APC 5166)

Cochlear Implant Procedure in Utah

What 9 hospitals in Utah charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.

APC 5166 Outpatient 2024 Medicare data
Average charge $85,481 Hospital list price billed
Average allowed $29,951 Medicare's payment + patient's share
Medicare paid $28,319 Average per service
State rank #18 of 38 1 = lowest average payment

Hospitals in Utah billed an average of $85,481 for cochlear implant procedure, about 2.9 times the average medicare-allowed amount of $29,951. That payment is 4% 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 $29,951Billed $85,481

About 35¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: cochlear implant procedure

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

Hospital Services Avg charge Avg allowed Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 34 $81,334 $29,951 $28,319
Utah Valley Regional Medical CenterProvo 14 $95,551 $29,951 $28,319
Salt Lake Regional Medical CenterSalt Lake City – – – –
Cottonwood Hospital Med CntrMurray – – – –
Lds HospitalSalt Lake City – – – –
Logan Regional HospitalLogan – – – –
St. George Regional HospitalSt George – – – –
Jordan Valley Medical CenterWest Jordan – – – –
Timpanogos Regional HospitalOrem – – – –
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Cochlear Implant Procedure in other states

Questions

How much does cochlear implant procedure cost in Utah?

In 2024 Medicare data, cochlear implant procedure (APC 5166) at 9 hospitals in Utah was billed at $85,481 on average, while the average medicare-allowed amount was $29,951, of which Medicare paid $28,319. 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 Utah, average charges were 2.9 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.