Cochlear Implant Procedure in Wisconsin
What 9 hospitals in Wisconsin charged and were paid for cochlear implant procedure (APC 5166), from 2024 Medicare claims.
Average charge
$91,905
Hospital list price billed
Average allowed
$31,093
Medicare's payment + patient's share
Medicare paid
$29,461
Average per service
State rank
#24 of 38
1 = lowest average payment
Hospitals in Wisconsin billed an average of $91,905 for cochlear implant procedure, about 3.0 times the average medicare-allowed amount of $31,093. That payment is about the same as 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 $31,093Billed $91,905
About 34¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: cochlear implant procedure
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee | 23 | $103,272 | $31,460 | $29,828 |
| University of Wi Hospitals & Clinics AuthorityMadison | 21 | $83,697 | $31,210 | $29,578 |
| St Vincent HsptlGreen Bay | 11 | $83,809 | $30,103 | $28,471 |
| Aspirus Wausau HospitalWausau | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Marshfield Medical CenterMarshfield | – | – | – | – |
| Luther Hospital Mayo Health SystemEau Claire | – | – | – | – |
| Gundersen Luth Med CtrLa Crosse | – | – | – | – |
| Aurora St Lukes Medical CenterMilwaukee | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| St Vincent HsptlGreen Bay, WI | $30,103 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $31,210 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $31,460 |
Highest
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $31,460 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $31,210 |
| St Vincent HsptlGreen Bay, WI | $30,103 |
Cochlear Implant Procedure in other states
Questions
How much does cochlear implant procedure cost in Wisconsin?
In 2024 Medicare data, cochlear implant procedure (APC 5166) at 9 hospitals in Wisconsin was billed at $91,905 on average, while the average medicare-allowed amount was $31,093, of which Medicare paid $29,461. 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 Wisconsin, average charges were 3.0 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.