Removal of impacted ear wax by washing
Medicare pricing data for 72,095 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $20 | $58 | 117 | 352 | +20.7% |
| California | $19 | $60 | 6,291 | 30,681 | +17.7% |
| New Jersey | $19 | $63 | 1,244 | 4,032 | +14.4% |
| Hawaii | $18 | $56 | 182 | 581 | +11.4% |
| Puerto Rico | $18 | $36 | 13 | 16 | +9.8% |
| Minnesota | $18 | $87 | 2,402 | 9,408 | +9.7% |
| Massachusetts | $18 | $61 | 2,559 | 10,871 | +7.3% |
| Connecticut | $17 | $87 | 820 | 3,131 | +5.6% |
| Maryland | $17 | $50 | 1,267 | 5,578 | +4.9% |
| North Dakota | $17 | $71 | 209 | 1,191 | +4.6% |
| Alaska | $17 | $76 | 222 | 791 | +3.6% |
| New York | $17 | $56 | 2,517 | 8,624 | +3.6% |
| Colorado | $17 | $49 | 1,544 | 4,614 | +3.5% |
| New Hampshire | $17 | $61 | 466 | 1,955 | +2.8% |
| Maine | $17 | $53 | 303 | 1,074 | +2.3% |
| Rhode Island | $17 | $47 | 216 | 758 | +2.0% |
| Washington | $17 | $53 | 2,342 | 8,809 | +1.8% |
| Virginia | $17 | $43 | 2,125 | 9,648 | +1.6% |
| Oregon | $17 | $54 | 1,255 | 4,140 | +1.5% |
| South Dakota | $17 | $51 | 166 | 802 | +0.6% |
| Illinois | $16 | $78 | 2,892 | 11,530 | -0.3% |
| Michigan | $16 | $46 | 1,893 | 6,013 | -0.6% |
| Delaware | $16 | $46 | 247 | 1,535 | -0.7% |
| Florida | $16 | $46 | 4,540 | 17,916 | -1.0% |
| Nevada | $16 | $67 | 695 | 2,518 | -2.3% |
| Texas | $16 | $51 | 4,175 | 12,615 | -2.5% |
| Wisconsin | $16 | $134 | 2,305 | 8,628 | -2.7% |
| Pennsylvania | $16 | $52 | 3,340 | 12,156 | -2.9% |
| Arizona | $16 | $46 | 2,049 | 9,745 | -3.2% |
| Montana | $16 | $54 | 285 | 1,520 | -3.7% |
| Wyoming | $16 | $63 | 209 | 1,187 | -3.9% |
| Georgia | $16 | $77 | 2,018 | 6,401 | -5.0% |
| Utah | $15 | $48 | 682 | 2,118 | -6.3% |
| Indiana | $15 | $48 | 2,316 | 8,893 | -6.7% |
| Ohio | $15 | $47 | 2,677 | 9,219 | -7.0% |
| New Mexico | $15 | $46 | 378 | 1,474 | -7.5% |
| Missouri | $15 | $42 | 1,087 | 3,592 | -7.9% |
| Vermont | $15 | $49 | 134 | 540 | -8.2% |
| North Carolina | $15 | $59 | 2,758 | 8,399 | -8.6% |
| Nebraska | $15 | $58 | 585 | 3,079 | -8.7% |
| West Virginia | $15 | $55 | 412 | 1,360 | -9.0% |
| South Carolina | $15 | $45 | 1,338 | 5,148 | -9.9% |
| Tennessee | $15 | $51 | 1,948 | 7,117 | -10.1% |
| Kansas | $15 | $52 | 734 | 2,929 | -10.5% |
| Iowa | $15 | $51 | 893 | 3,818 | -11.0% |
| Kentucky | $15 | $42 | 1,093 | 3,677 | -11.4% |
| Louisiana | $15 | $79 | 654 | 1,865 | -11.7% |
| Alabama | $14 | $38 | 946 | 2,734 | -12.9% |
| Oklahoma | $14 | $38 | 735 | 2,454 | -13.8% |
| Arkansas | $14 | $43 | 665 | 2,626 | -14.0% |
| Idaho | $14 | $43 | 480 | 1,771 | -17.5% |
| Mississippi | $13 | $54 | 566 | 2,328 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber