Cochlear Implant Procedure in Washington
What 10 hospitals in Washington charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$125,669
Hospital list price billed
Average allowed
$33,506
Medicare's payment + patient's share
Medicare paid
$31,874
Average per service
State rank
#30 of 38
1 = lowest average payment
Hospitals in Washington billed an average of $125,669 for cochlear implant procedure, about 3.8 times the average medicare-allowed amount of $33,506. That payment is 8% above 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 $33,506Billed $125,669
About 27¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: cochlear implant procedure
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Virginia Mason Medical CenterSeattle | 19 | $119,651 | $33,479 | $31,847 |
| University of Washington Medical CtrSeattle | 11 | $136,062 | $33,553 | $31,921 |
| Swedish Medical Center/Cherry HillSeattle | – | – | – | – |
| Swedish Medical CenterSeattle | – | – | – | – |
| S W Washington Medical CenterVancouver | – | – | – | – |
| Overlake Hospital Medical CenterBellevue | – | – | – | – |
| Providence Sacred Heart Medical CenterSpokane | – | – | – | – |
| Kadlec Regional Medical CenterRichland | – | – | – | – |
| St Joseph Medical CenterTacoma | – | – | – | – |
| Swedish IssaquahIssaquah | – | – | – | – |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Washington?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 10 hospitals in Washington was billed at $125,669 on average, while the average medicare-allowed amount was $33,506, of which Medicare paid $31,874. 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 Washington, average charges were 3.8 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.