Cochlear Implant Procedure in West Virginia
What 4 hospitals in West Virginia charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$96,557
Hospital list price billed
Average allowed
$25,466
Medicare's payment + patient's share
Medicare paid
$23,834
Average per service
State rank
#2 of 38
1 = lowest average payment
Hospitals in West Virginia billed an average of $96,557 for cochlear implant procedure, about 3.8 times the average medicare-allowed amount of $25,466. That payment is 18% 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 $25,466Billed $96,557
About 26¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: cochlear implant procedure
Every West 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 |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 21 | $96,557 | $25,466 | $23,834 |
| St Mary's Medical CenterHuntington | – | – | – | – |
| Charleston Area Medical CenterCharleston | – | – | – | – |
| Beckley Arh HospitalBeckley | – | – | – | – |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in West Virginia?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 4 hospitals in West Virginia was billed at $96,557 on average, while the average medicare-allowed amount was $25,466, of which Medicare paid $23,834. 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 West Virginia, 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.