Price Checker / CPT 69990
How much does Microsurgery Add-on cost?
CPT 69990 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 61x the fair price — among the most extreme markups. Dispute this.
Fair price
$300–$590
What this should cost
With insurance
~$2,350
Typical out-of-pocket
Overcharged if over
$740
Push back above this
The average hospital charge of $27,555 is $27,105 over the fair price (about 61x the fair rate).
What hospitals charge for Microsurgery Add-on
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| The Christ Hospital Inpatient Psychiatry , OH | $39,266 | $23,560 | 19724% |
| The Christ Hospital Inpatient Rehab , OH | $39,266 | $23,560 | 19724% |
| The Christ Hospital Liberty , OH | $39,266 | $23,560 | 19724% |
| The Christ Hospital , OH | $39,266 | $23,560 | 19724% |
| UPMC Montefiore , PA | $23,560 | $18,848 | 11795% |
| UPMC Presbyterian , PA | $23,560 | $18,848 | 11795% |
| UPMC Shadyside , PA | $23,560 | $18,848 | 11795% |
| Oregon Health and Science University , OR | $19,448 | $12,641 | 9719% |
| UPMC Childrens , PA | $16,595 | $13,276 | 8278% |
| UPMC Magee , PA | $11,760 | $9,408 | 5837% |
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 Microsurgery Add-on
CPT code 69990 refers to microsurgery add-on (billing description: "Microsurgery add-on"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $198 in a facility (hospital or surgery center) and $198 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.