Incision of eardrum with insertion of eardrum tube under local or topical anesthesia
Medicare pricing data for 5,844 providers across 51 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
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia (HCPCS code 69433) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $207.66, but hospitals typically charge $620.73 — a 3.0x 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 $207.66, your out-of-pocket cost would be approximately $41.53. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $157.09 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $245 | $1,233 | 15 | 59 | +18.0% |
| District of Columbia | $244 | $580 | 8 | 56 | +17.3% |
| New York | $237 | $1,061 | 313 | 1,571 | +14.4% |
| California | $234 | $654 | 421 | 2,109 | +12.5% |
| New Jersey | $233 | $1,219 | 162 | 991 | +12.1% |
| Maryland | $231 | $577 | 109 | 911 | +11.0% |
| Connecticut | $230 | $579 | 71 | 352 | +10.8% |
| Colorado | $222 | $604 | 107 | 353 | +6.8% |
| Delaware | $220 | $563 | 16 | 251 | +6.1% |
| Massachusetts | $219 | $730 | 150 | 837 | +5.3% |
| Hawaii | $218 | $540 | 12 | 50 | +5.0% |
| Nevada | $217 | $644 | 25 | 124 | +4.3% |
| Washington | $216 | $582 | 149 | 865 | +4.2% |
| Wyoming | $216 | $864 | 11 | 62 | +4.0% |
| Rhode Island | $214 | $630 | 11 | 49 | +3.1% |
| Florida | $213 | $520 | 370 | 2,662 | +2.8% |
| Virginia | $211 | $500 | 169 | 1,216 | +1.7% |
| Texas | $208 | $537 | 441 | 2,728 | +0.4% |
| Oregon | $208 | $647 | 92 | 452 | +0.2% |
| Illinois | $208 | $705 | 198 | 1,423 | +0.1% |
| Pennsylvania | $206 | $632 | 262 | 1,824 | -0.6% |
| Georgia | $206 | $623 | 201 | 971 | -0.7% |
| Utah | $206 | $518 | 60 | 250 | -1.0% |
| North Carolina | $204 | $575 | 211 | 1,263 | -1.6% |
| Arizona | $204 | $446 | 100 | 603 | -1.8% |
| Michigan | $203 | $457 | 186 | 1,228 | -2.1% |
| Oklahoma | $201 | $502 | 56 | 471 | -3.0% |
| Indiana | $201 | $545 | 132 | 758 | -3.4% |
| Minnesota | $200 | $767 | 133 | 676 | -3.7% |
| South Carolina | $199 | $479 | 134 | 1,230 | -4.2% |
| Kansas | $198 | $651 | 67 | 735 | -4.7% |
| Ohio | $196 | $543 | 237 | 1,335 | -5.8% |
| Kentucky | $195 | $487 | 103 | 680 | -6.1% |
| Louisiana | $194 | $612 | 103 | 418 | -6.6% |
| Alabama | $193 | $351 | 104 | 643 | -6.8% |
| Mississippi | $192 | $538 | 54 | 591 | -7.5% |
| Missouri | $192 | $520 | 129 | 1,010 | -7.6% |
| Nebraska | $191 | $529 | 65 | 330 | -7.9% |
| New Hampshire | $191 | $554 | 28 | 146 | -8.0% |
| Iowa | $190 | $571 | 78 | 524 | -8.4% |
| Montana | $190 | $476 | 33 | 186 | -8.6% |
| Tennessee | $188 | $668 | 132 | 955 | -9.5% |
| Arkansas | $185 | $450 | 53 | 443 | -10.8% |
| Idaho | $182 | $502 | 31 | 168 | -12.1% |
| Wisconsin | $182 | $1,264 | 130 | 669 | -12.2% |
| South Dakota | $181 | $502 | 31 | 137 | -12.9% |
| Maine | $180 | $439 | 23 | 92 | -13.2% |
| West Virginia | $176 | $507 | 34 | 216 | -15.1% |
| New Mexico | $171 | $474 | 19 | 54 | -17.5% |
| North Dakota | $163 | $458 | 23 | 122 | -21.5% |
| Vermont | $132 | $227 | 10 | 31 | -36.6% |
⚠️ 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