69209

Removal of impacted ear wax by washing

Medicare pricing data for 72,095 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 impacted ear wax by washing (HCPCS code 69209) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.48, but hospitals typically charge $57.90 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.48, your out-of-pocket cost would be approximately $3.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.48
Average Hospital Charge
$57.90
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$57.90
Medicare Allowed$16.48
Medicare Payment$10.94

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $10.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$20$58117352+20.7%
California$19$606,29130,681+17.7%
New Jersey$19$631,2444,032+14.4%
Hawaii$18$56182581+11.4%
Puerto Rico$18$361316+9.8%
Minnesota$18$872,4029,408+9.7%
Massachusetts$18$612,55910,871+7.3%
Connecticut$17$878203,131+5.6%
Maryland$17$501,2675,578+4.9%
North Dakota$17$712091,191+4.6%
Alaska$17$76222791+3.6%
New York$17$562,5178,624+3.6%
Colorado$17$491,5444,614+3.5%
New Hampshire$17$614661,955+2.8%
Maine$17$533031,074+2.3%
Rhode Island$17$47216758+2.0%
Washington$17$532,3428,809+1.8%
Virginia$17$432,1259,648+1.6%
Oregon$17$541,2554,140+1.5%
South Dakota$17$51166802+0.6%
Illinois$16$782,89211,530-0.3%
Michigan$16$461,8936,013-0.6%
Delaware$16$462471,535-0.7%
Florida$16$464,54017,916-1.0%
Nevada$16$676952,518-2.3%
Texas$16$514,17512,615-2.5%
Wisconsin$16$1342,3058,628-2.7%
Pennsylvania$16$523,34012,156-2.9%
Arizona$16$462,0499,745-3.2%
Montana$16$542851,520-3.7%
Wyoming$16$632091,187-3.9%
Georgia$16$772,0186,401-5.0%
Utah$15$486822,118-6.3%
Indiana$15$482,3168,893-6.7%
Ohio$15$472,6779,219-7.0%
New Mexico$15$463781,474-7.5%
Missouri$15$421,0873,592-7.9%
Vermont$15$49134540-8.2%
North Carolina$15$592,7588,399-8.6%
Nebraska$15$585853,079-8.7%
West Virginia$15$554121,360-9.0%
South Carolina$15$451,3385,148-9.9%
Tennessee$15$511,9487,117-10.1%
Kansas$15$527342,929-10.5%
Iowa$15$518933,818-11.0%
Kentucky$15$421,0933,677-11.4%
Louisiana$15$796541,865-11.7%
Alabama$14$389462,734-12.9%
Oklahoma$14$387352,454-13.8%
Arkansas$14$436652,626-14.0%
Idaho$14$434801,771-17.5%
Mississippi$13$545662,328-19.0%

⚠️ 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