Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
Medicare pricing data for 5,047 providers across 49 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 cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS code G0268) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.88, but hospitals typically charge $128.54 — a 2.5x 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 $50.88, your out-of-pocket cost would be approximately $10.18. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $37.52 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $58 | $161 | 73 | 2,771 | +14.9% |
| New York | $56 | $159 | 376 | 33,219 | +9.5% |
| New Jersey | $56 | $127 | 195 | 11,192 | +9.3% |
| Maryland | $54 | $124 | 86 | 3,399 | +6.7% |
| California | $54 | $128 | 335 | 9,216 | +5.6% |
| Illinois | $53 | $129 | 164 | 4,273 | +3.2% |
| Massachusetts | $52 | $182 | 152 | 4,620 | +2.6% |
| Washington | $52 | $125 | 71 | 1,398 | +2.6% |
| District of Columbia | $52 | $77 | 6 | 300 | +2.2% |
| Nevada | $51 | $127 | 31 | 637 | -0.2% |
| Wyoming | $51 | $159 | 12 | 183 | -0.3% |
| Delaware | $51 | $119 | 31 | 1,008 | -0.5% |
| Rhode Island | $51 | $118 | 17 | 570 | -0.5% |
| Colorado | $49 | $130 | 84 | 1,196 | -2.9% |
| Pennsylvania | $49 | $107 | 235 | 11,683 | -3.0% |
| Texas | $49 | $131 | 437 | 9,992 | -3.2% |
| Idaho | $49 | $102 | 5 | 68 | -4.3% |
| Georgia | $49 | $138 | 155 | 2,702 | -4.7% |
| Virginia | $48 | $106 | 106 | 2,609 | -4.7% |
| Oregon | $48 | $134 | 36 | 366 | -5.1% |
| Florida | $48 | $110 | 435 | 19,652 | -5.5% |
| North Dakota | $48 | $126 | 6 | 22 | -5.7% |
| Arizona | $48 | $102 | 112 | 6,319 | -6.0% |
| North Carolina | $48 | $122 | 219 | 3,598 | -6.2% |
| Missouri | $48 | $112 | 102 | 1,368 | -6.4% |
| Michigan | $47 | $101 | 173 | 3,059 | -6.7% |
| South Carolina | $47 | $117 | 105 | 3,425 | -7.0% |
| Kentucky | $47 | $101 | 56 | 1,412 | -7.4% |
| South Dakota | $47 | $102 | 15 | 153 | -7.4% |
| Ohio | $46 | $101 | 224 | 2,241 | -9.0% |
| New Mexico | $46 | $95 | 11 | 606 | -9.4% |
| Utah | $46 | $99 | 26 | 107 | -9.5% |
| Louisiana | $46 | $141 | 93 | 1,807 | -9.5% |
| Oklahoma | $46 | $104 | 47 | 1,839 | -9.7% |
| Alabama | $46 | $69 | 117 | 3,118 | -10.1% |
| Nebraska | $46 | $121 | 30 | 370 | -10.5% |
| Tennessee | $45 | $132 | 151 | 3,191 | -11.8% |
| Iowa | $45 | $126 | 68 | 1,239 | -11.9% |
| Arkansas | $45 | $120 | 40 | 645 | -12.4% |
| Indiana | $44 | $113 | 93 | 1,265 | -14.4% |
| Mississippi | $42 | $135 | 38 | 750 | -17.4% |
| Wisconsin | $41 | $190 | 65 | 401 | -18.7% |
| Kansas | $41 | $105 | 36 | 428 | -18.8% |
| Minnesota | $40 | $120 | 49 | 224 | -20.4% |
| Hawaii | $39 | $132 | 8 | 78 | -22.7% |
| Maine | $38 | $93 | 21 | 145 | -26.0% |
| Montana | $37 | $137 | 10 | 34 | -26.4% |
| New Hampshire | $36 | $160 | 39 | 382 | -28.8% |
| Vermont | $29 | $97 | 13 | 112 | -42.1% |
⚠️ 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