Complex removal of skin debris and drainage of mastoid cavity
Medicare pricing data for 1,132 providers across 40 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Complex removal of skin debris and drainage of mastoid cavity (HCPCS code 69222) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $228.96, but hospitals typically charge $537.11 — a 2.3x 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 $228.96, your out-of-pocket cost would be approximately $45.79. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $170.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $273 | $750 | 2 | 29 | +19.3% |
| New York | $262 | $702 | 95 | 473 | +14.6% |
| District of Columbia | $258 | $707 | 2 | 57 | +12.6% |
| California | $257 | $672 | 126 | 1,015 | +12.2% |
| New Jersey | $256 | $677 | 44 | 196 | +11.6% |
| Maryland | $248 | $440 | 28 | 199 | +8.3% |
| Massachusetts | $247 | $654 | 34 | 190 | +8.0% |
| Connecticut | $238 | $616 | 18 | 43 | +4.0% |
| Pennsylvania | $234 | $464 | 57 | 340 | +2.3% |
| Virginia | $228 | $510 | 36 | 152 | -0.4% |
| Washington | $228 | $511 | 27 | 71 | -0.5% |
| Illinois | $227 | $485 | 36 | 113 | -0.7% |
| Nevada | $226 | $512 | 10 | 31 | -1.4% |
| Texas | $224 | $548 | 53 | 223 | -2.2% |
| Delaware | $222 | $532 | 5 | 56 | -3.1% |
| Florida | $221 | $479 | 127 | 1,125 | -3.3% |
| Colorado | $221 | $571 | 23 | 103 | -3.4% |
| Arkansas | $220 | $551 | 8 | 32 | -3.9% |
| Missouri | $216 | $490 | 20 | 127 | -5.7% |
| Minnesota | $212 | $739 | 13 | 38 | -7.3% |
| North Carolina | $212 | $489 | 45 | 160 | -7.6% |
| South Carolina | $210 | $364 | 38 | 138 | -8.2% |
| Oregon | $208 | $567 | 6 | 51 | -9.2% |
| Oklahoma | $205 | $612 | 13 | 37 | -10.3% |
| Utah | $205 | $227 | 6 | 208 | -10.3% |
| Arizona | $203 | $483 | 26 | 227 | -11.4% |
| Alabama | $202 | $272 | 25 | 152 | -11.6% |
| Wisconsin | $201 | $1,283 | 16 | 44 | -12.2% |
| Indiana | $200 | $329 | 16 | 98 | -12.6% |
| Louisiana | $200 | $557 | 16 | 45 | -12.9% |
| Kentucky | $199 | $447 | 22 | 148 | -12.9% |
| Georgia | $199 | $523 | 20 | 122 | -13.2% |
| Iowa | $197 | $271 | 7 | 29 | -14.1% |
| Michigan | $197 | $361 | 26 | 120 | -14.2% |
| Kansas | $195 | $567 | 6 | 16 | -14.7% |
| Mississippi | $194 | $521 | 5 | 26 | -15.2% |
| Ohio | $192 | $566 | 25 | 50 | -16.3% |
| Tennessee | $191 | $504 | 14 | 31 | -16.4% |
| New Hampshire | $173 | $666 | 4 | 43 | -24.3% |
| New Mexico | $140 | $698 | 4 | 29 | -39.0% |
⚠️ 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