Price Checker / CPT 69433

How much does Create Eardrum Opening cost?

CPT 69433 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $730–$860.

Fair price

$730–$860

What this should cost

With insurance

~$2,250

Typical out-of-pocket

Overcharged if over

$1,100

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About Create Eardrum Opening

CPT code 69433 refers to create eardrum opening (billing description: "Create eardrum opening"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $120 in a facility (hospital or surgery center) and $202 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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