69200

Removal of foreign body in ear canal

Medicare pricing data for 21,165 providers across 52 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

Removal of foreign body in ear canal (HCPCS code 69200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $73.30, but hospitals typically charge $270.67 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $73.30, your out-of-pocket cost would be approximately $14.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$73.30
Average Hospital Charge
$270.67
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$270.67
Medicare Allowed$73.30
Medicare Payment$52.53

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $52.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$87$38848319+19.2%
New York$85$3371,3094,010+16.3%
New Jersey$84$2946741,822+14.8%
Rhode Island$83$25560207+13.3%
Maryland$81$2424361,105+10.3%
Alaska$81$40677119+10.0%
Hawaii$80$25848102+9.4%
California$79$2601,7607,054+7.3%
Connecticut$78$329244509+7.0%
Colorado$77$252422920+4.9%
Massachusetts$75$3376441,345+2.2%
Florida$75$2321,5514,386+2.1%
Wyoming$75$3014478+1.9%
Puerto Rico$75$891631+1.9%
Nevada$74$253129256+1.5%
Washington$73$256487770-0.0%
Virginia$72$2516651,353-2.0%
Pennsylvania$71$2479781,895-2.8%
Illinois$70$3288261,418-3.9%
Texas$70$2731,2792,346-3.9%
Delaware$70$195114237-4.0%
Georgia$70$2936031,187-4.1%
Louisiana$69$237327743-5.6%
South Carolina$69$2294731,054-5.7%
Arizona$69$2174881,022-6.1%
Oregon$69$267259405-6.2%
Michigan$68$2246321,164-6.6%
North Carolina$68$2727331,362-7.0%
West Virginia$68$26893162-7.5%
Utah$67$257185262-8.1%
Alabama$66$168270549-9.5%
Indiana$66$257480751-10.0%
New Hampshire$66$283178294-10.2%
Nebraska$66$243151241-10.5%
Missouri$65$238381700-10.7%
Tennessee$65$281438771-11.0%
Iowa$65$291263441-11.4%
Idaho$65$188133218-11.9%
Mississippi$64$266194373-12.2%
Arkansas$64$233206398-12.6%
Minnesota$64$293387503-12.8%
Wisconsin$64$574422667-12.8%
Oklahoma$64$242315484-13.2%
Kentucky$64$215269457-13.3%
Kansas$63$230190301-13.6%
Ohio$63$2557111,171-14.7%
Montana$61$230105189-16.4%
New Mexico$60$227119171-18.6%
South Dakota$58$20582123-21.0%
Maine$56$228113165-23.8%
North Dakota$55$2296883-24.4%
Vermont$51$2075199-30.5%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber