Price Checker / CPT 69420
How much does Incision Of Eardrum cost?
CPT 69420 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 7x the fair price. This is well above fair — push back or dispute it.
Fair price
$630–$740
What this should cost
With insurance
~$2,550
Typical out-of-pocket
Overcharged if over
$930
Push back above this
The average hospital charge of $4,861 is $4,171 over the fair price (about 7x the fair rate).
What hospitals charge for Incision Of Eardrum
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Animas Surgical Hospital , CO | $497 | — | 5651% |
| UPMC Muncy MUNCY, PA | $7,088 | $5,670 | 3597% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $5,929 | — | 2993% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $5,929 | — | 2993% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Incision Of Eardrum
CPT code 69420 refers to incision of eardrum (billing description: "Incision of eardrum"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $111 in a facility (hospital or surgery center) and $192 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.