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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.

Open the interactive explorerAll operations

CPT 69930: Cochlear Implant

862 hospitals in 75 markets. National Medicare rate $33,686, surgery center $29,769.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)6$40,316$49,596$57,292$35,591–$89,519
Alaska (statewide)2———$19,968–$25,620
Arizona (statewide)3———$25,584–$74,825
Arkansas (statewide)5$30,984$33,905$41,703$27,618–$41,703
Atlanta GA6$18,067$18,067$68,023$18,067–$85,429
Austin TX13$31,784$36,113$36,113$31,784–$65,136
Boston MA10$50,425$57,248$60,280$36,557–$68,649
California (statewide)48$51,635$89,058$120,364$22,772–$120,364
Charlotte NC5$37,816$37,816$37,816$37,300–$37,816
Chicago IL8$51,060$58,358$65,328$31,105–$108,746
Cleveland OH10$34,103$35,079$52,672$26,387–$81,105
Colorado (statewide)12$23,828$27,226$46,606$20,368–$67,956
Dallas-Fort Worth TX10$42,947$52,688$62,552$32,450–$86,364
Denver CO15$42,792$60,824$64,346$22,520–$67,956
Detroit MI12$50,969$55,195$56,310$19,037–$69,814
Florida (statewide)58$25,997$32,128$59,561$18,259–$113,108
Georgia (statewide)21$27,594$59,959$84,888$16,434–$98,035
Hawaii (statewide)2———$39,590–$41,475
Houston TX17$48,832$64,892$66,893$46,349–$100,015
Idaho (statewide)12$33,331$79,054$80,953$31,114–$104,506
Illinois (statewide)24$39,489$51,988$71,638$26,183–$94,498
Indiana (statewide)17$39,249$43,343$72,451$31,808–$111,099
Indianapolis IN1———$137,155–$137,155
Iowa (statewide)11$55,950$64,118$69,738$37,634–$86,860
Kansas (statewide)10$24,964$40,900$56,122$21,140–$90,528
Kentucky (statewide)10$40,523$50,162$59,268$25,249–$92,318
Las Vegas NV1———$54,312–$54,312
Los Angeles CA17$48,832$53,113$64,475$40,280–$91,023
Louisiana (statewide)22$29,786$44,344$49,024$17,881–$82,720
Maine (statewide)15$130,333$149,492$151,313$79,435–$190,243
Massachusetts (statewide)2———$47,634–$50,926
Miami-Fort Lauderdale FL1———$59,386–$59,386
Michigan (statewide)19$52,158$57,393$84,033$32,854–$93,410
Minneapolis-St. Paul MN6$58,698$58,698$66,920$58,698–$82,174
Minnesota (statewide)10$79,954$95,623$112,577$58,698–$148,202
Mississippi (statewide)8$40,900$43,858$49,381$39,965–$50,018
Missouri (statewide)10$39,788$44,639$58,877$39,112–$72,937
Montana (statewide)3———$66,796–$108,779
Nashville TN6$65,146$66,398$67,230$60,262–$67,230
Nebraska (statewide)9$50,598$56,612$56,612$17,314–$63,628
New Hampshire (statewide)4———$20,940–$107,728
New Jersey (statewide)19$32,896$36,907$36,907$28,896–$104,870
New Mexico (statewide)5$33,566$50,869$96,320$19,597–$199,452
New York (statewide)26$37,640$60,722$73,592$33,608–$130,568
New York City7$37,117$37,127$37,760$29,969–$125,122
North Carolina (statewide)2———$28,442–$71,584
North Dakota (statewide)5$55,027$59,216$66,630$29,470–$76,619
Ohio (statewide)29$37,331$56,434$67,373$30,731–$101,059
Oklahoma (statewide)12$66,686$91,336$105,792$19,421–$132,697
Oregon (statewide)6$81,452$89,952$123,764$74,051–$162,518
Pennsylvania (statewide)17$65,086$80,434$116,580$20,996–$151,672
Philadelphia PA7$42,343$42,702$62,132$19,242–$83,994
Phoenix AZ6$74,825$74,825$74,825$74,825–$74,825
Pittsburgh PA6$59,395$65,572$68,879$31,119–$80,060
Portland OR9$65,398$65,398$110,781$57,498–$110,781
Rhode Island (statewide)3———$65,109–$99,174
Richmond VA3———$44,746–$45,205
Rio Grande Valley TX3———$40,658–$70,105
Salt Lake City UT9$30,080$30,080$30,450$29,708–$30,451
San Antonio TX3———$45,547–$52,308
San Diego CA4———$72,093–$72,093
San Francisco Bay Area CA5$46,559$58,281$88,031$25,601–$89,248
Seattle-Tacoma WA16$85,744$99,355$103,851$77,175–$119,956
South Carolina (statewide)19$43,114$59,042$70,568$29,053–$116,522
South Dakota (statewide)3———$51,982–$80,745
St. Louis MO1———$19,223–$19,223
Tampa FL6$48,700$48,700$48,700$34,050–$82,634
Tennessee (statewide)19$31,410$46,438$59,602$26,746–$83,883
Texas (statewide)64$42,556$56,509$62,469$28,417–$130,568
Utah (statewide)4———$30,080–$38,594
Virginia (statewide)17$63,302$81,208$90,366$38,354–$127,776
Washington (statewide)10$84,557$90,802$96,632$66,818–$168,222
Washington DC9$51,491$84,327$85,647$46,740–$86,960
West Virginia (statewide)2———$35,307–$35,307
Wisconsin (statewide)25$20,824$21,170$46,628$17,376–$136,435

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Navicent Health BaldwinGeorgia (statewide)$16,4340.6×12025-11-19
Chi Health Good SamaritanNebraska (statewide)$17,3140.5×62026-02-28
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$17,3760.5×12026-01-01
Omega Hospital, LlcLouisiana (statewide)$17,8810.6×12026-05-26
Emory University HospitalAtlanta GA$18,0670.6×12026-04-01
Emory Decatur HospitalGeorgia (statewide)$18,0670.6×12026-04-01
Emory Saint Joseph's HospitalAtlanta GA$18,0670.6×12026-04-01
Emory University Hospital MidtownAtlanta GA$18,0670.6×12026-04-01
Emory Johns Creek HospitalAtlanta GA$18,0670.6×12026-04-01
Emory Hillandale HospitalGeorgia (statewide)$18,0670.6×12026-04-01
Baptist Medical Center JacksonvilleFlorida (statewide)$18,2590.5×22026-02-06
Baptist Medical Center - BeachesFlorida (statewide)$18,2590.5×22026-02-06
Mainehealth Pen Bay HospitalMaine (statewide)$149,4924.6×12025-09-09
Northern Light Mercy HospitalMaine (statewide)$151,3134.5×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$151,3134.7×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$151,3134.7×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$151,3134.7×22026-03-30
Lehigh Valley Hospital - MacungiePennsylvania (statewide)$151,6724.5×82026-07-01
Mainehealth Waldo HospitalMaine (statewide)$156,2804.8×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$159,3684.9×22026-03-30
Providence Medford Medical CenterOregon (statewide)$162,5184.2×22026-04-01
Providence Centralia HospitalWashington (statewide)$168,2224.6×42026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$190,2435.9×12025-09-09
Memorial Medical CenterNew Mexico (statewide)$199,4526.1×12026-07-10

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for cochlear implant?

Across 862 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 69930, hospital outpatient is $56,536, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $37,124 to $74,825. 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: Navicent Health Baldwin ($16,434), Chi Health Good Samaritan ($17,314), Orthopaedic Hospital Of Wisconsin ($17,376). Highest: Memorial Medical Center ($199,452), Mainehealth Lincoln Hospital ($190,243), Providence Centralia Hospital ($168,222). Coverage: every hospital whose price file we could read.