Incision of fluid canal of inner ear with infusion of drugs
Medicare pricing data for 3,268 providers across 49 states
This procedure has a 6.6x markup — hospitals charge $1,433 but Medicare allows only $216.44. Uninsured patients may face bills 6.6 times higher than what insurance negotiates. Prices vary significantly by location — from $117 in North Dakota to $281 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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 fluid canal of inner ear with infusion of drugs (HCPCS code 69801) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $216.44, but hospitals typically charge $1,433 — a 6.6x 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 $216.44, your out-of-pocket cost would be approximately $43.29. 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 6.6x more than what Medicare allows for this procedure. Medicare actually pays $168.89 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $281 | $4,096 | 4 | 77 | +29.7% |
| Alaska | $272 | $2,663 | 12 | 45 | +25.5% |
| New Jersey | $264 | $2,121 | 92 | 785 | +22.2% |
| New York | $259 | $2,833 | 142 | 926 | +19.9% |
| Connecticut | $250 | $1,507 | 19 | 99 | +15.5% |
| Maryland | $245 | $1,096 | 91 | 609 | +13.1% |
| California | $245 | $1,524 | 291 | 2,021 | +13.0% |
| Indiana | $236 | $1,460 | 62 | 693 | +8.9% |
| Hawaii | $235 | $1,273 | 6 | 51 | +8.6% |
| Delaware | $233 | $597 | 10 | 91 | +7.9% |
| Nevada | $230 | $1,252 | 15 | 123 | +6.4% |
| Virginia | $228 | $965 | 91 | 507 | +5.3% |
| Minnesota | $227 | $868 | 41 | 134 | +4.8% |
| Oregon | $226 | $765 | 44 | 205 | +4.3% |
| Colorado | $225 | $827 | 76 | 401 | +3.7% |
| Florida | $222 | $994 | 248 | 2,376 | +2.8% |
| Texas | $218 | $1,309 | 239 | 2,194 | +0.7% |
| Pennsylvania | $218 | $1,502 | 153 | 1,046 | +0.6% |
| Washington | $217 | $856 | 88 | 502 | +0.3% |
| Georgia | $216 | $1,617 | 95 | 366 | -0.1% |
| Illinois | $214 | $1,515 | 99 | 524 | -1.2% |
| Oklahoma | $212 | $741 | 23 | 115 | -2.0% |
| Kentucky | $212 | $1,099 | 49 | 318 | -2.3% |
| North Carolina | $211 | $1,587 | 121 | 743 | -2.3% |
| Arizona | $211 | $573 | 55 | 633 | -2.4% |
| Michigan | $209 | $847 | 102 | 592 | -3.3% |
| Missouri | $209 | $1,030 | 68 | 568 | -3.4% |
| Mississippi | $208 | $1,092 | 21 | 239 | -4.0% |
| Utah | $207 | $931 | 35 | 142 | -4.2% |
| Iowa | $205 | $1,089 | 37 | 193 | -5.4% |
| Louisiana | $204 | $1,999 | 61 | 203 | -5.7% |
| Arkansas | $203 | $503 | 13 | 81 | -6.1% |
| Idaho | $203 | $815 | 18 | 94 | -6.2% |
| West Virginia | $203 | $1,522 | 12 | 48 | -6.4% |
| South Carolina | $201 | $1,518 | 78 | 558 | -7.0% |
| Alabama | $201 | $2,376 | 68 | 1,398 | -7.2% |
| Maine | $201 | $652 | 10 | 52 | -7.2% |
| Nebraska | $201 | $1,017 | 24 | 110 | -7.3% |
| Massachusetts | $200 | $1,964 | 100 | 560 | -7.8% |
| Kansas | $199 | $1,205 | 34 | 220 | -7.9% |
| Montana | $199 | $552 | 8 | 61 | -8.2% |
| South Dakota | $193 | $829 | 8 | 28 | -10.6% |
| Wisconsin | $190 | $3,057 | 49 | 178 | -12.3% |
| Ohio | $184 | $1,434 | 127 | 663 | -15.1% |
| Tennessee | $170 | $1,417 | 95 | 1,576 | -21.7% |
| New Hampshire | $169 | $770 | 16 | 77 | -22.0% |
| New Mexico | $156 | $923 | 17 | 60 | -28.0% |
| Vermont | $121 | $381 | 6 | 26 | -44.0% |
| North Dakota | $117 | $302 | 7 | 26 | -45.8% |
⚠️ 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