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Cochlear implant: what insurers pay

Surgical implant of a cochlear hearing device. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 69930: Implant Cochlear Device

79 hospitals in 30 markets. National Medicare rate $33,686, surgery center $29,769.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$18,067–$18,067
Austin TX2———$31,784–$39,776
Boston MA7$52,076$57,510$65,949$46,459–$76,623
California (statewide)1———$72,154–$72,154
Chicago IL5$56,922$56,922$59,794$33,474–$108,746
Cleveland OH4———$35,844–$76,479
Dallas-Fort Worth TX4———$32,450–$77,648
Denver CO7$50,287$52,988$55,134$43,838–$57,182
Detroit MI5$55,195$55,195$55,195$19,037–$59,657
Georgia (statewide)1———$21,254–$21,254
Houston TX1———$67,541–$67,541
Kansas (statewide)1———$31,272–$31,272
Las Vegas NV1———$52,722–$52,722
Los Angeles CA2———$40,280–$101,754
Nashville TN2———$31,518–$67,230
New York City2———$30,045–$38,706
Ohio (statewide)1———$65,066–$65,066
Pennsylvania (statewide)1———$68,973–$68,973
Philadelphia PA3———$19,242–$42,702
Phoenix AZ3———$74,825–$74,825
Portland OR6$57,498$57,498$77,950$57,498–$84,768
Richmond VA2———$44,746–$45,205
San Antonio TX1———$52,308–$52,308
San Diego CA1———$42,408–$42,408
San Francisco Bay Area CA2———$43,398–$58,281
Seattle-Tacoma WA6$112,219$116,088$123,951$93,906–$136,838
St. Louis MO1———$43,487–$43,487
Tampa FL2———$48,700–$99,846
Washington DC3———$51,193–$99,047
Wisconsin (statewide)1———$17,376–$17,376
HospitalMarketMedian across insurers× MedicareInsurersFile date
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$17,3760.5×12026-01-01
Emory University HospitalAtlanta GA$18,0670.6×12026-04-01
Harper University HospitalDetroit MI$19,0370.6×12026-09-02
Thomas Jefferson University HospitalPhiladelphia PA$19,2420.6×12026-09-15
Emory Houston Hospital Warner RobinsGeorgia (statewide)$21,2540.7×12026-04-01
Montefiore Medical CenterNew York City$30,0450.7×42026-04-01
Menorah Medical CenterKansas (statewide)$31,2721.0×32026-09-01
Vanderbilt University Medical CenterNashville TN$31,5181.0×52025-10-01
Ascension Seton Medical Center AustinAustin TX$31,7841.0×12026-01-01
Medical City PlanoDallas-Fort Worth TX$32,4501.0×52026-09-01
Endeavor Health Northwest Community HospitalChicago IL$33,4740.9×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$35,8441.1×12026-07-14
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$38,7060.9×62026-01-01
St David's Medical CenterAustin TX$39,7761.2×32026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$40,2800.9×32025-11-26
Riddle Memorial HospitalPhiladelphia PA$42,3431.3×12026-04-01
Scripps Green HospitalSan Diego CA$42,4081.0×12026-03-30
Bryn Mawr HospitalPhiladelphia PA$42,7021.3×12026-04-01
Medical City MckinneyDallas-Fort Worth TX$42,9471.3×42026-09-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$43,3980.9×52026-03-23
Mercy Hospital St LouisSt. Louis MO$43,4871.3×22026-06-04
UCHealth University of Colorado HospitalDenver CO$43,8381.3×22025-11-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$44,7461.4×32026-09-01
Henrico Doctors' HospitalRichmond VA$45,2051.4×32026-09-01
New England Baptist HospitalBoston MA$46,4591.2×22026-04-01
Morton Plant HospitalTampa FL$48,7001.4×22026-01-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$50,1891.4×42026-09-01
HCA HealthONE SwedishDenver CO$50,3851.4×42026-09-01
Reston Hospital CenterWashington DC$51,1931.5×12026-09-01
Winchester HospitalBoston MA$51,2531.3×12026-04-01
Stonesprings Hospital CenterWashington DC$51,4911.5×12026-09-01
Methodist HospitalSan Antonio TX$52,3081.6×42026-09-01
University Medical Center of Southern NevadaLas Vegas NV$52,7221.5×42026-07-01
Beverly Hospital CorporationBoston MA$52,8981.3×12026-04-01
HCA HealthONE Sky RidgeDenver CO$52,9881.5×42026-09-01
Hca Healthone RoseDenver CO$53,0861.5×42026-09-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$55,1951.7×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$55,1951.7×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$55,1951.7×12026-05-01
Endeavor Health Elmhurst HospitalChicago IL$56,9221.6×12026-04-01
Endeavor Health Edward HospitalChicago IL$56,9221.6×12026-04-01
Adventhealth PorterDenver CO$57,1821.6×22026-04-01
Adventhealth ParkerDenver CO$57,1821.6×22026-04-01
Legacy Emanuel Medical CenterPortland OR$57,4981.6×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$57,4981.6×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$57,4981.6×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$57,4981.6×52026-04-01
Anna Jaques HospitalBoston MA$57,5101.5×22026-04-01
Stanford Health CareSan Francisco Bay Area CA$58,2811.2×42026-04-01
Medina HospitalCleveland OH$59,1181.9×12026-06-15
Henry Ford Health Rochester HospitalDetroit MI$59,6571.8×12026-01-01
University of Chicago Medical CenterChicago IL$59,7941.7×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$61,3061.6×12026-04-01
Bethesda NorthOhio (statewide)$65,0662.0×42026-04-01
TriStar StoneCrest Medical CenterNashville TN$67,2302.1×12026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$67,5322.2×12026-06-15
Houston Methodist HospitalHouston TX$67,5412.0×12026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$68,9732.1×72026-07-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$70,1182.1×22026-04-21
Lahey Hospital & Medical Center, BurlingtonBoston MA$70,5921.8×12026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$72,1541.7×42026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$74,8252.1×12026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$74,8252.1×12026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$74,8252.1×12026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$76,4792.5×12026-06-15
Beth Israel Deaconess Medical CenterBoston MA$76,6231.9×12026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$77,6482.3×22026-06-29
Providence St Vincent Medical CenterPortland OR$84,7682.3×32026-04-01
Providence Portland Medical CenterPortland OR$84,7682.3×32026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$93,9062.5×42026-04-01
Inova Alexandria HospitalWashington DC$99,0472.9×22026-04-01
Tampa General HospitalTampa FL$99,8462.9×12026-04-01
Keck Hospital Of UscLos Angeles CA$101,7542.4×22026-04-01
Endeavor Health Evanston HospitalChicago IL$108,7463.1×12026-04-01
St Clare HospitalSeattle-Tacoma WA$112,2192.9×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$112,2192.9×52026-02-28
Swedish Medical CenterSeattle-Tacoma WA$119,9563.1×42026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$125,2833.3×72026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$136,8383.6×62026-08-27

Questions

How much do commercial insurers pay hospitals for cochlear implant?

Across 79 hospitals in 30 metro areas that post a usable dollar rate, the median commercial rate for CPT 69930, hospital outpatient is $56,922, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $43,443 to $70,355. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for cochlear implant?

Medicare's national hospital outpatient rate for CPT 69930 is $33,686 and its surgery-center rate is $29,769, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for cochlear implant?

Lowest medians: Orthopaedic Hospital Of Wisconsin ($17,376), Emory University Hospital ($18,067), Harper University Hospital ($19,037). Highest: Multicare Good Samaritan Hospital ($136,838), Tacoma General Allenmore Hospital ($125,283), Swedish Medical Center ($119,956). Coverage is limited to the markets listed on this page.