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Ear tubes (tympanostomy): what insurers pay

Tubes placed in the eardrums, under general anesthesia (69436) or local (69433). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 69436: Create Eardrum Opening

92 hospitals in 30 markets. National Medicare rate $1,585, surgery center $659.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$4,975–$4,975
Austin TX2———$1,132–$4,102
Boston MA7$2,224$2,286$2,388$2,051–$3,066
California (statewide)1———$7,368–$7,368
Chicago IL7$2,598$3,414$4,454$2,118–$5,161
Cleveland OH5$5,242$5,504$5,512$2,500–$6,514
Dallas-Fort Worth TX4———$3,778–$5,161
Denver CO7$2,806$3,991$4,142$1,740–$4,785
Detroit MI7$2,164$2,253$2,253$1,907–$5,085
Georgia (statewide)1———$5,051–$5,051
Houston TX1———$3,871–$3,871
Kansas (statewide)1———$5,222–$5,222
Las Vegas NV2———$2,460–$2,557
Los Angeles CA2———$5,687–$13,680
Minneapolis-St. Paul MN1———$1,687–$1,687
Nashville TN4———$1,869–$3,603
New York City2———$6,473–$9,094
Ohio (statewide)1———$3,966–$3,966
Philadelphia PA5$3,664$7,409$9,172$3,562–$11,208
Phoenix AZ3———$3,054–$3,065
Portland OR6$6,471$7,385$7,385$6,166–$7,385
Richmond VA2———$4,174–$4,205
San Antonio TX1———$2,982–$2,982
San Diego CA1———$1,996–$1,996
San Francisco Bay Area CA2———$12,246–$13,980
Seattle-Tacoma WA6$5,340$5,496$6,233$4,518–$6,669
St. Louis MO3———$4,953–$4,953
Tampa FL2———$2,676–$3,578
Washington DC4———$3,400–$4,042
Wisconsin (statewide)1———$2,183–$2,183
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$1,1320.7×22026-01-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$1,6871.0×42026-03-31
Adventhealth PorterDenver CO$1,7401.1×42026-04-01
Adventhealth ParkerDenver CO$1,7401.1×42026-04-01
Ascension Saint Thomas RutherfordNashville TN$1,8691.3×12026-01-01
Trinity Health Oakland HospitalDetroit MI$1,9071.2×162026-03-31
Scripps Green HospitalSan Diego CA$1,9961.0×12026-03-30
Winchester HospitalBoston MA$2,0511.1×32026-04-01
Mclaren Port HuronDetroit MI$2,0831.4×12025-12-31
Endeavor Health Northwest Community HospitalChicago IL$2,1181.3×32026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$2,1831.4×32026-01-01
Anna Jaques HospitalBoston MA$2,2121.2×42026-04-01
New England Baptist HospitalBoston MA$2,2371.2×42026-04-01
Henry Ford Health Rochester HospitalDetroit MI$2,2451.4×12026-01-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,2531.5×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,2531.5×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,2531.5×12026-05-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,2861.2×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,3101.2×22026-04-01
Henderson HospitalLas Vegas NV$2,4601.5×42026-09-01
Beverly Hospital CorporationBoston MA$2,4661.3×42026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$2,5001.7×42026-07-14
Endeavor Health Evanston HospitalChicago IL$2,5501.5×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,5571.6×72026-07-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5821.7×22026-01-01
Endeavor Health Edward HospitalChicago IL$2,6461.6×22026-04-01
Tampa General HospitalTampa FL$2,6761.6×32026-04-01
Methodist HospitalSan Antonio TX$2,9821.9×52026-09-01
Vanderbilt University Medical CenterNashville TN$2,9882.0×72025-10-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,0541.8×42026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0651.9×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0651.9×52026-04-01
Beth Israel Deaconess Medical CenterBoston MA$3,0661.6×22026-04-01
George Washington Univ HospitalWashington DC$3,4001.9×32026-09-01
Endeavor Health Elmhurst HospitalChicago IL$3,4142.0×22026-04-01
Riddle Memorial HospitalPhiladelphia PA$3,5622.2×22026-04-01
Morton Plant HospitalTampa FL$3,5782.2×22026-01-01
TriStar StoneCrest Medical CenterNashville TN$3,6032.4×52026-09-01
Bryn Mawr HospitalPhiladelphia PA$3,6642.3×22026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$3,7782.4×32026-06-29
Houston Methodist HospitalHouston TX$3,8712.5×62026-04-01
HCA HealthONE SwedishDenver CO$3,8722.4×42026-09-01
Inova Alexandria HospitalWashington DC$3,9272.5×52026-04-01
Bethesda NorthOhio (statewide)$3,9662.6×42026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$3,9912.4×42026-09-01
Reston Hospital CenterWashington DC$4,0352.5×42026-09-01
Stonesprings Hospital CenterWashington DC$4,0422.5×42026-09-01
HCA HealthONE Sky RidgeDenver CO$4,0882.5×42026-09-01
St David's Medical CenterAustin TX$4,1022.6×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$4,1742.8×42026-09-01
Hca Healthone RoseDenver CO$4,1952.6×42026-09-01
Henrico Doctors' HospitalRichmond VA$4,2052.8×42026-09-01
Rush University Medical CenterChicago IL$4,3172.6×22026-09-25
Overlake Hospital Medical CenterSeattle-Tacoma WA$4,5182.5×52026-04-01
University of Chicago Medical CenterChicago IL$4,5922.8×22026-04-01
Medical City PlanoDallas-Fort Worth TX$4,7233.0×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$4,7233.0×52026-09-01
UCHealth University of Colorado HospitalDenver CO$4,7852.9×32025-11-01
Mercy Hospital St LouisSt. Louis MO$4,9533.2×12026-06-04
Mercy Hospital JeffersonSt. Louis MO$4,9533.2×12026-06-10
Mercy Hospital SouthSt. Louis MO$4,9533.2×12026-06-10
Emory University HospitalAtlanta GA$4,9753.2×62026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,0513.7×32026-04-01
Harper University HospitalDetroit MI$5,0853.3×12026-09-02
Loyola University Medical CenterChicago IL$5,1613.1×12026-03-31
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$5,1613.3×22026-04-21
Menorah Medical CenterKansas (statewide)$5,2223.6×52026-09-01
Cleveland Clinic Hillcrest HospitalCleveland OH$5,2423.6×22026-06-15
St Clare HospitalSeattle-Tacoma WA$5,3403.0×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$5,3403.0×62026-02-28
Medina HospitalCleveland OH$5,5043.8×32026-06-15
Cleveland Clinic Lutheran HospitalCleveland OH$5,5123.8×22026-06-15
Swedish Medical CenterSeattle-Tacoma WA$5,6513.1×52026-04-01
Keck Hospital Of UscLos Angeles CA$5,6872.9×52026-04-01
Providence St Vincent Medical CenterPortland OR$6,1663.6×22026-04-01
Providence Portland Medical CenterPortland OR$6,1663.6×22026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$6,4273.5×52026-08-27
Montefiore Medical CenterNew York City$6,4733.3×82026-04-01
Cleveland Clinic (main campus)Cleveland OH$6,5144.4×22026-06-16
Multicare Good Samaritan HospitalSeattle-Tacoma WA$6,6693.7×42026-08-27
Los Robles Hospital & Medical CenterCalifornia (statewide)$7,3683.7×42026-09-01
Legacy Emanuel Medical CenterPortland OR$7,3854.3×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$7,3854.3×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$7,3854.3×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$7,3854.3×52026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,4094.2×32026-09-15
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,0944.7×62026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1725.8×32026-09-15
Inspira Medical Center Mullica HillPhiladelphia PA$11,2086.4×12026-03-24
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$12,2465.6×62026-03-23
Cedars-Sinai Medical CenterLos Angeles CA$13,6806.8×22025-11-26
Stanford Health CareSan Francisco Bay Area CA$13,9806.1×22026-04-01

CPT 69433: Create Eardrum Opening

84 hospitals in 32 markets. National Medicare rate $551, surgery center $145.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$3,320–$3,320
Austin TX2———$732–$2,520
Boston MA7$1,038$1,123$1,347$852–$1,646
California (statewide)1———$4,419–$4,419
Chicago IL6$521$867$1,282$490–$2,032
Cleveland OH5$1,105$1,226$1,251$967–$2,218
Dallas-Fort Worth TX3———$1,002–$2,256
Denver CO7$1,336$1,880$1,974$1,254–$2,096
Detroit MI5$1,136$1,136$1,136$451–$3,791
Georgia (statewide)1———$2,585–$2,585
Houston TX1———$2,052–$2,052
Illinois (statewide)1———$550–$550
Kansas (statewide)1———$2,794–$2,794
Las Vegas NV2———$1,119–$2,531
Los Angeles CA1———$4,451–$4,451
Miami-Fort Lauderdale FL1———$1,575–$1,575
Nashville TN4———$602–$2,939
New York (statewide)1———$4,684–$4,684
New York City1———$680–$680
Ohio (statewide)1———$815–$815
Pennsylvania (statewide)1———$2,006–$2,006
Philadelphia PA4———$1,471–$4,440
Phoenix AZ3———$2,064–$2,554
Pittsburgh PA1———$3,276–$3,276
Portland OR6$1,743$1,743$2,672$1,743–$2,982
Richmond VA2———$2,368–$2,368
San Antonio TX1———$2,456–$2,456
San Francisco Bay Area CA1———$5,216–$5,216
Seattle-Tacoma WA6$1,879$1,922$2,033$1,553–$2,086
Tampa FL2———$1,214–$1,506
Washington DC4———$1,700–$2,555
Wisconsin (statewide)1———$981–$981
HospitalMarketMedian across insurers× MedicareInsurersFile date
Henry Ford Health Rochester HospitalDetroit MI$4510.8×22026-01-01
Loyola University Medical CenterChicago IL$4900.8×12026-03-31
Endeavor Health Edward HospitalChicago IL$5060.9×22026-04-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$5500.9×22026-06-03
Endeavor Health Evanston HospitalChicago IL$5661.0×22026-04-01
Vanderbilt University Medical CenterNashville TN$6021.2×82025-10-01
Montefiore Medical CenterNew York City$6801.0×82026-04-01
Ascension Seton Medical Center AustinAustin TX$7321.4×22026-01-01
Bethesda NorthOhio (statewide)$8151.6×42026-04-01
Anna Jaques HospitalBoston MA$8521.3×32026-04-01
Medina HospitalCleveland OH$9671.9×12026-06-15
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$9811.8×22026-01-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$1,0021.9×22026-04-21
Winchester HospitalBoston MA$1,0381.6×22026-04-01
New England Baptist HospitalBoston MA$1,0391.6×42026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$1,1052.2×12026-06-15
University Medical Center of Southern NevadaLas Vegas NV$1,1192.0×72026-07-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$1,1231.7×22026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$1,1362.1×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$1,1362.1×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$1,1362.1×12026-05-01
Endeavor Health Elmhurst HospitalChicago IL$1,1682.0×22026-04-01
Beth Israel Deaconess Medical CenterBoston MA$1,1681.8×12026-04-01
Tampa General HospitalTampa FL$1,2142.2×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$1,2262.4×22026-07-14
Cleveland Clinic Hillcrest HospitalCleveland OH$1,2512.5×12026-06-15
UCHealth University of Colorado HospitalDenver CO$1,2542.2×22025-11-01
Ascension Saint Thomas RutherfordNashville TN$1,2762.5×22026-01-01
Endeavor Health Northwest Community HospitalChicago IL$1,3202.3×22026-04-01
Adventhealth PorterDenver CO$1,3362.4×42026-04-01
Adventhealth ParkerDenver CO$1,3362.4×42026-04-01
Riddle Memorial HospitalPhiladelphia PA$1,4712.7×12026-04-01
Morton Plant HospitalTampa FL$1,5062.7×22026-01-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,5262.4×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$1,5532.5×52026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$1,5752.8×32026-06-15
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,6143.1×32026-01-01
Beverly Hospital CorporationBoston MA$1,6462.5×32026-04-01
Bryn Mawr HospitalPhiladelphia PA$1,6763.0×12026-04-01
Medstar Washington Hospital CenterWashington DC$1,7002.7×42026-04-01
Legacy Emanuel Medical CenterPortland OR$1,7432.9×32026-04-01
Legacy Good Samaritan Medical CenterPortland OR$1,7432.9×32026-04-01
Legacy Mount Hood Medical CenterPortland OR$1,7432.9×32026-04-01
Legacy Meridian Park Medical CenterPortland OR$1,7432.9×32026-04-01
St Clare HospitalSeattle-Tacoma WA$1,8793.0×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$1,8793.0×62026-02-28
HCA HealthONE SwedishDenver CO$1,8803.3×32026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$1,8813.3×32026-09-01
Thomas Jefferson University HospitalPhiladelphia PA$1,8873.4×12026-09-15
Swedish Medical CenterSeattle-Tacoma WA$1,9653.1×42026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$2,0063.7×62026-07-01
University of Chicago Medical CenterChicago IL$2,0323.5×22026-04-01
Houston Methodist HospitalHouston TX$2,0523.8×12026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$2,0563.3×72026-08-27
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,0643.6×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,0643.6×52026-04-01
HCA HealthONE Sky RidgeDenver CO$2,0663.6×32026-09-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$2,0863.3×62026-08-27
Hca Healthone RoseDenver CO$2,0963.7×32026-09-01
George Washington Univ HospitalWashington DC$2,2103.5×32026-09-01
Cleveland Clinic (main campus)Cleveland OH$2,2184.3×22026-06-16
Medical City PlanoDallas-Fort Worth TX$2,2564.2×42026-09-01
Medical City MckinneyDallas-Fort Worth TX$2,2564.2×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$2,3684.5×42026-09-01
Henrico Doctors' HospitalRichmond VA$2,3684.5×42026-09-01
Methodist HospitalSan Antonio TX$2,4564.5×52026-09-01
St David's Medical CenterAustin TX$2,5204.7×52026-09-01
Henderson HospitalLas Vegas NV$2,5314.5×42026-09-01
Reston Hospital CenterWashington DC$2,5504.6×42026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,5544.4×42026-04-01
Stonesprings Hospital CenterWashington DC$2,5554.6×42026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$2,5855.5×22026-04-01
Menorah Medical CenterKansas (statewide)$2,7945.5×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$2,9395.7×42026-09-01
Providence St Vincent Medical CenterPortland OR$2,9825.0×22026-04-01
Providence Portland Medical CenterPortland OR$2,9825.0×22026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$3,2766.2×12026-03-06
Emory University HospitalAtlanta GA$3,3206.1×42026-04-01
Harper University HospitalDetroit MI$3,7917.1×12026-09-02
Los Robles Hospital & Medical CenterCalifornia (statewide)$4,4196.4×12026-09-01
Jefferson Stratford HospitalPhiladelphia PA$4,4407.3×12026-09-15
Keck Hospital Of UscLos Angeles CA$4,4516.4×52026-04-01
Stony Brook University HospitalNew York (statewide)$4,6847.0×42026-06-10
Stanford Health CareSan Francisco Bay Area CA$5,2166.6×12026-04-01

Questions

How much do commercial insurers pay hospitals for ear tubes (tympanostomy)?

Across 92 hospitals in 30 metro areas that post a usable dollar rate, the median commercial rate for CPT 69436, hospital outpatient is $4,039, 2.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,555 to $5,340. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for ear tubes (tympanostomy)?

Medicare's national hospital outpatient rate for CPT 69436 is $1,585 and its surgery-center rate is $659, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for ear tubes (tympanostomy)?

Lowest medians: Ascension Seton Medical Center Austin ($1,132), Park Nicollet Methodist Hospital ($1,687), Adventhealth Porter ($1,740). Highest: Stanford Health Care ($13,980), Cedars-Sinai Medical Center ($13,680), John Muir Medical Center - Walnut Creek Campus ($12,246). Coverage is limited to the markets listed on this page.