Simple removal of skin debris and drainage of mastoid cavity
Medicare pricing data for 5,365 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
Simple removal of skin debris and drainage of mastoid cavity (HCPCS code 69220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.75, but hospitals typically charge $310.41 — a 4.0x 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 $76.75, your out-of-pocket cost would be approximately $15.35. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $53.95 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $96 | $514 | 17 | 86 | +24.4% |
| Rhode Island | $90 | $282 | 16 | 228 | +17.5% |
| District of Columbia | $90 | $321 | 14 | 93 | +16.8% |
| New Jersey | $87 | $372 | 148 | 1,083 | +13.9% |
| Delaware | $86 | $272 | 21 | 397 | +11.9% |
| Connecticut | $85 | $416 | 61 | 332 | +10.9% |
| California | $85 | $339 | 403 | 3,211 | +10.7% |
| Maryland | $84 | $341 | 111 | 895 | +9.6% |
| New York | $84 | $490 | 325 | 2,444 | +9.3% |
| Hawaii | $83 | $273 | 15 | 56 | +8.8% |
| Nevada | $82 | $301 | 29 | 203 | +7.3% |
| Virginia | $80 | $278 | 139 | 944 | +3.7% |
| Massachusetts | $78 | $436 | 159 | 1,418 | +2.0% |
| Wyoming | $78 | $306 | 12 | 76 | +1.6% |
| Washington | $78 | $270 | 130 | 840 | +1.4% |
| Colorado | $78 | $266 | 91 | 402 | +1.3% |
| Florida | $77 | $248 | 390 | 3,308 | +0.5% |
| Texas | $77 | $285 | 353 | 2,077 | +0.1% |
| Indiana | $75 | $247 | 112 | 814 | -1.8% |
| Georgia | $75 | $316 | 158 | 914 | -2.0% |
| Oregon | $75 | $298 | 73 | 492 | -2.0% |
| Michigan | $75 | $233 | 158 | 928 | -2.4% |
| Pennsylvania | $75 | $281 | 252 | 1,696 | -2.8% |
| Oklahoma | $75 | $300 | 48 | 562 | -2.9% |
| Utah | $74 | $285 | 39 | 159 | -3.5% |
| Illinois | $74 | $317 | 220 | 1,560 | -3.7% |
| Tennessee | $74 | $323 | 121 | 724 | -3.7% |
| Missouri | $74 | $263 | 130 | 871 | -3.8% |
| South Carolina | $73 | $245 | 105 | 625 | -4.5% |
| Arizona | $73 | $160 | 93 | 1,239 | -4.7% |
| Minnesota | $73 | $370 | 125 | 587 | -4.9% |
| Idaho | $73 | $223 | 24 | 138 | -4.9% |
| Louisiana | $73 | $355 | 82 | 440 | -5.2% |
| North Carolina | $72 | $268 | 199 | 960 | -5.6% |
| Mississippi | $72 | $276 | 35 | 236 | -6.7% |
| Montana | $72 | $219 | 27 | 161 | -6.7% |
| Kentucky | $71 | $243 | 90 | 496 | -7.5% |
| Puerto Rico | $71 | $152 | 12 | 27 | -7.5% |
| Alabama | $71 | $155 | 61 | 250 | -7.6% |
| Wisconsin | $71 | $588 | 129 | 754 | -8.0% |
| Ohio | $70 | $280 | 186 | 1,078 | -8.6% |
| South Dakota | $69 | $236 | 31 | 175 | -9.6% |
| Nebraska | $69 | $300 | 51 | 213 | -9.7% |
| Kansas | $69 | $262 | 53 | 247 | -10.6% |
| Arkansas | $68 | $242 | 34 | 203 | -10.9% |
| Iowa | $67 | $313 | 80 | 628 | -13.0% |
| New Mexico | $67 | $224 | 27 | 178 | -13.3% |
| West Virginia | $66 | $297 | 42 | 267 | -14.6% |
| New Hampshire | $65 | $268 | 30 | 132 | -15.7% |
| North Dakota | $59 | $182 | 22 | 123 | -23.0% |
| Maine | $58 | $200 | 29 | 185 | -24.3% |
| Vermont | $49 | $95 | 11 | 103 | -36.3% |
⚠️ 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