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Ear tubes (tympanostomy) in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 69436

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,5622.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6642.3×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1725.8×32026-09-15

CPT 69433

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$1,4712.7×12026-04-01
Bryn Mawr Hospital Bryn Mawr$1,6763.0×12026-04-01
Thomas Jefferson University Hospital Philadelphia$1,8873.4×12026-09-15
Lehigh Valley Hospital Allentown$2,0063.7×62026-07-01
Upmc Presbyterian Shadyside Pittsburgh$3,2766.2×12026-03-06

Questions

How much do insurers pay for ear tubes (tympanostomy) in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for ear tubes (tympanostomy) in their federal price-transparency files. For CPT 69436, hospital outpatient, the median across 3 hospitals is $3,664, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.