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Ear wax removal: what insurers pay

Removal of impacted ear wax with instruments, one ear. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 69210: Ear Wax Removal

1435 hospitals in 81 markets. National Medicare rate $60.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)23$67$99$147$44–$400
Alaska (statewide)4———$65–$184
Arizona (statewide)14$86$106$157$41–$326
Arkansas (statewide)16$72$86$135$29–$274
Atlanta GA2———$178–$180
Austin TX13$58$89$136$53–$167
Boston MA14$93$126$142$64–$176
California (statewide)76$76$85$175$43–$295
Charlotte NC6$71$71$71$70–$124
Chicago IL9$100$122$214$73–$342
Cleveland OH8$58$58$78$58–$131
Colorado (statewide)20$72$160$281$41–$431
Columbus OH1———$212–$212
Connecticut (statewide)4———$71–$246
Dallas-Fort Worth TX14$111$135$164$89–$302
Delaware (statewide)1———$134–$134
Denver CO10$74$115$192$60–$413
Detroit MI17$62$79$110$40–$177
Florida (statewide)29$62$83$104$32–$325
Georgia (statewide)24$83$158$182$54–$364
Hawaii (statewide)9$74$208$460$68–$520
Houston TX19$108$114$162$100–$211
Idaho (statewide)22$51$91$143$38–$193
Illinois (statewide)46$82$100$148$48–$450
Indiana (statewide)43$48$79$114$32–$404
Indianapolis IN4———$32–$43
Iowa (statewide)42$64$85$128$54–$330
Kansas (statewide)43$57$79$162$28–$350
Kentucky (statewide)25$80$94$252$44–$405
Las Vegas NV2———$112–$367
Los Angeles CA16$100$145$168$74–$294
Louisiana (statewide)25$56$90$125$48–$166
Maine (statewide)17$243$273$282$56–$355
Massachusetts (statewide)11$90$102$158$60–$174
Miami-Fort Lauderdale FL3———$39–$283
Michigan (statewide)35$40$86$95$31–$127
Minneapolis-St. Paul MN15$112$122$134$76–$194
Minnesota (statewide)22$112$160$198$41–$294
Mississippi (statewide)28$91$99$112$65–$160
Missouri (statewide)29$68$103$144$49–$338
Montana (statewide)11$55$58$147$37–$188
Nashville TN4———$80–$97
Nebraska (statewide)28$75$86$102$46–$367
Nevada (statewide)7$132$193$367$124–$367
New Hampshire (statewide)6$84$232$324$36–$433
New Jersey (statewide)26$66$120$154$65–$525
New Mexico (statewide)10$75$86$152$46–$422
New York (statewide)44$78$122$152$37–$300
New York City8$137$248$248$72–$292
North Carolina (statewide)6$146$148$158$130–$210
North Dakota (statewide)10$84$97$118$32–$140
Ohio (statewide)43$80$134$178$57–$317
Oklahoma (statewide)24$81$114$128$38–$208
Oregon (statewide)19$78$142$214$53–$457
Pennsylvania (statewide)55$72$132$198$39–$448
Philadelphia PA8$76$76$98$76–$157
Phoenix AZ7$136$136$150$95–$165
Pittsburgh PA12$61$80$97$40–$112
Portland OR9$217$217$237$174–$237
Research Triangle NC2———$120–$123
Rhode Island (statewide)6$82$181$278$79–$392
Rio Grande Valley TX5$79$135$145$77–$152
Salt Lake City UT9$129$132$132$56–$132
San Antonio TX3———$78–$119
San Diego CA7$132$133$133$107–$140
San Francisco Bay Area CA5$83$87$192$83–$520
Seattle-Tacoma WA16$166$182$204$156–$217
South Carolina (statewide)31$111$152$208$82–$302
South Dakota (statewide)7$52$52$58$52–$76
St. Louis MO3———$292–$304
Tampa FL6$62$62$103$62–$328
Tennessee (statewide)32$60$82$128$54–$348
Texas (statewide)88$78$110$167$34–$425
Utah (statewide)9$62$114$126$56–$219
Vermont (statewide)4———$43–$257
Virginia (statewide)17$181$193$207$132–$306
Washington (statewide)23$82$161$196$37–$525
Washington DC8$278$286$286$176–$400
West Virginia (statewide)14$135$206$208$49–$393
Wisconsin (statewide)39$80$112$146$52–$245
Wyoming (statewide)3———$72–$80

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ashland Health CenterKansas (statewide)$280.5×42026-09-11
Mercy Hospital BerryvilleArkansas (statewide)$290.5×12026-06-04
Helen Newberry Joy HospitalMichigan (statewide)$310.5×32026-09-02
Ascension St Vincent'S Clay CountyFlorida (statewide)$320.5×42026-01-01
Ascension St Vincent KokomoIndiana (statewide)$320.5×42026-01-01
Ascension St Vincent AndersonIndianapolis IN$320.5×42026-01-01
Ascension St Vincent Heart CenterIndiana (statewide)$320.5×42026-01-01
Ascension St Vincent CarmelIndianapolis IN$320.5×42026-01-01
Ascension St Vincent FishersIndianapolis IN$320.5×42026-01-01
Ascension St Vincent RandolphIndiana (statewide)$320.5×42026-01-01
Ascension St Vincent JenningsIndiana (statewide)$320.5×42026-01-01
Ascension St Vincent WilliamsportIndiana (statewide)$320.5×42026-01-01
Sweeny Community HospitalTexas (statewide)$4257.2×12026-09-08
Hca Healthone Mountain RidgeColorado (statewide)$4317.0×12026-09-01
Southern Nh Medical CenterNew Hampshire (statewide)$4336.9×32026-04-01
St Mary Medical CenterPennsylvania (statewide)$4487.9×12026-03-31
Washington County HospitalIllinois (statewide)$4507.1×12026-06-01
Bay Area HospitalOregon (statewide)$4576.9×12026-02-23
Kohala HospitalHawaii (statewide)$4606.6×12026-06-15
Samuel Mahelona Memorial HospitalHawaii (statewide)$4606.6×12026-06-15
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$5206.3×12026-04-01
Kauai Veterans Memorial HospitalHawaii (statewide)$5207.4×12026-06-15
Saint Peter'S University HospitalNew Jersey (statewide)$5258.0×62025-11-19
Astria Sunnyside HospitalWashington (statewide)$5258.0×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for ear wax removal?

Across 1435 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 69210, hospital outpatient is $111, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $74 to $166. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for ear wax removal?

Medicare's national hospital outpatient rate for CPT 69210 is $60, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for ear wax removal?

Lowest medians: Ashland Health Center ($28), Mercy Hospital Berryville ($29), Helen Newberry Joy Hospital ($31). Highest: Astria Sunnyside Hospital ($525), Saint Peter'S University Hospital ($525), Kauai Veterans Memorial Hospital ($520). Coverage: every hospital whose price file we could read.