L8624

Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each

Medicare pricing data for 5 providers across 3 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each (HCPCS code L8624) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $180.05, but hospitals typically charge $312.83 — a 1.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $180.05, your out-of-pocket cost would be approximately $36.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$180.05
Average Hospital Charge
$312.83
Markup Ratio
1.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$312.83
Medicare Allowed$180.05
Medicare Payment$134.23

Hospitals charge 1.7x more than what Medicare allows for this procedure. Medicare actually pays $134.23 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Colorado$181$30915,489+0.4%
California$180$33314,134+0.0%
North Carolina$170$1751432-5.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

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