Cochlear Implant Procedure in Virginia
What 9 hospitals in Virginia charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$86,180
Hospital list price billed
Average allowed
$29,809
Medicare's payment + patient's share
Medicare paid
$28,177
Average per service
State rank
#16 of 38
1 = lowest average payment
Hospitals in Virginia billed an average of $86,180 for cochlear implant procedure, about 2.9 times the average medicare-allowed amount of $29,809. 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 $29,809Billed $86,180
About 35¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: cochlear implant procedure
Every Virginia 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 of Virginia Medical CenterCharlottesville | 34 | $70,345 | $30,699 | $29,067 |
| Medical College of Virginia HospitalsRichmond | 21 | $102,990 | $28,848 | $27,216 |
| Sentara Norfolk General HospitalNorfolk | 14 | $99,423 | $29,092 | $27,460 |
| Winchester Medical Center INCWinchester | – | – | – | – |
| Carilion Medical CenterRoanoke | – | – | – | – |
| Inova Loudoun HospitalLeesburg | – | – | – | – |
| Virginia Hospital Center - ArlingtonArlington | – | – | – | – |
| Bon Secours - St Marys Hospital of RichmondRichmond | – | – | – | – |
| Inova Fairfax HospitalFalls Church | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Medical College of Virginia HospitalsRichmond, VA | $28,848 |
|---|---|
| Sentara Norfolk General HospitalNorfolk, VA | $29,092 |
| University of Virginia Medical CenterCharlottesville, VA | $30,699 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $30,699 |
|---|---|
| Sentara Norfolk General HospitalNorfolk, VA | $29,092 |
| Medical College of Virginia HospitalsRichmond, VA | $28,848 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Virginia?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 9 hospitals in Virginia was billed at $86,180 on average, while the average medicare-allowed amount was $29,809, of which Medicare paid $28,177. 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 Virginia, 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.