Outpatient / APC 5166
APC 5166 · 133 hospitals · 4,257 services
Cochlear Implant Procedure
Hospital outpatient departments billed Medicare for 4,257 services in APC 5166 in 2024. They charged an average of $140,278; Medicare allowed $31,217 — a ratio of 4.5 to 1 — and paid $29,569 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $42,934 to $410,311 across hospitals.
- 1Average charge $140,278
- 2Medicare allowed $31,217
- 3Reporting hospitals 133
- 4Services 4,257
By state
The average charge for this service was highest in Colorado ($312,415) and lowest in Montana ($69,218). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Colorado | 134 | $312,415 | $31,944 |
| Maine | 12 | $240,872 | $28,931 |
| Texas | 189 | $212,367 | $29,607 |
| Kansas | 151 | $199,368 | $28,913 |
| Pennsylvania | 140 | $190,168 | $31,644 |
| Delaware | 17 | $180,675 | $32,557 |
| New York | 185 | $179,851 | $36,869 |
| California | 304 | $175,323 | $42,820 |
| Kentucky | 79 | $173,768 | $28,501 |
| Florida | 248 | $169,922 | $28,345 |
| New Jersey | 44 | $168,495 | $34,926 |
| Illinois | 163 | $153,275 | $31,488 |
| Louisiana | 54 | $138,584 | $28,074 |
| Indiana | 72 | $137,498 | $29,999 |
| Arizona | 137 | $133,512 | $32,492 |
| Oklahoma | 97 | $130,365 | $28,114 |
| Washington | 57 | $123,867 | $33,910 |
| South Carolina | 132 | $123,668 | $27,600 |
| South Dakota | 41 | $122,868 | $31,611 |
| Georgia | 105 | $121,557 | $30,502 |
| Ohio | 175 | $120,941 | $29,003 |
| Missouri | 145 | $118,378 | $22,274 |
| District of Columbia | 14 | $114,871 | $34,204 |
| Alabama | 44 | $111,921 | $27,438 |
| Nebraska | 64 | $111,359 | $29,666 |
| Tennessee | 154 | $110,756 | $27,441 |
| New Hampshire | 30 | $107,243 | $32,632 |
| West Virginia | 26 | $106,858 | $26,035 |
| North Carolina | 172 | $101,159 | $29,794 |
| North Dakota | 45 | $100,817 | $30,807 |
| Michigan | 99 | $98,799 | $29,912 |
| Wisconsin | 81 | $96,779 | $30,785 |
| Alaska | 16 | $95,946 | $34,505 |
| Utah | 74 | $95,698 | $30,123 |
| Arkansas | 54 | $95,323 | $28,712 |
| Virginia | 110 | $94,962 | $29,920 |
| Oregon | 58 | $92,746 | $35,180 |
| Connecticut | 29 | $92,724 | $36,854 |
| Iowa | 96 | $87,594 | $28,726 |
| Minnesota | 113 | $87,271 | $33,272 |
| Mississippi | 24 | $84,011 | $28,406 |
| New Mexico | 14 | $79,011 | $29,524 |
| Massachusetts | 136 | $73,293 | $35,901 |
| Idaho | 52 | $72,764 | $29,669 |
| Montana | 49 | $69,218 | $30,991 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| HCA Healthone Swedish Englewood, CO | $410,311 | $31,826 |
| NYU Langone Hospitals New York, NY | $397,717 | $36,907 |
| Legent Surgical Hospital Plano Plano, TX | $357,082 | $27,501 |
| Norton Hospital / Norton Healthcare Pavilion / Nor Louisville, KY | $328,876 | $28,574 |
| CHI St Luke's Health Baylor College of Medicine Me Houston, TX | $326,275 | $31,001 |
| Chandler Regional Medical Center Chandler, AZ | $310,252 | $32,600 |
| Northwestern Medicine Delnor Community Hospital Geneva, IL | $283,643 | $32,658 |
| Sarasota Memorial Hospital Sarasota, FL | $274,612 | $30,285 |
| University of Colorado Hospital Authority Aurora, CO | $265,533 | $31,826 |
| Ascentist Hospital LLC Leawood, KS | $259,101 | $28,871 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Albany Medical Center Hospital Albany, NY | $42,934 | $35,443 |
| Unm Hospital Albuquerque, NM | $48,742 | $29,592 |
| Tufts Medical Center Boston, MA | $54,899 | $35,901 |
| UNC Hospitals Chapel Hill, NC | $56,050 | $29,552 |
| St Patrick Hospital Missoula, MT | $58,167 | $31,345 |
| Massachusetts Eye and Ear Infirmary - Boston, MA | $60,849 | $35,901 |
| University of Mississippi Med Center Jackson, MS | $61,162 | $27,991 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA | $63,645 | $35,901 |
| Billings Clinic Hospital Billings, MT | $66,288 | $29,901 |
| Strong Memorial Hospital Rochester, NY | $68,156 | $35,443 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.