CPT 69210 Surgery - Auditory

How Much Does Remove Impacted Ear Wax Uni Cost?

Also known as: Remove impacted ear wax uni (CPT 69210)

Remove Impacted Ear Wax Uni (CPT 69210) costs $27 at Medicare rates. Hospital outpatient rate: $60.

Cost Comparison by Payer

How much Remove impacted ear wax uni costs across different settings and payers

Medicare
Facility rate
$27
Hospital Outpatient
OPPS rate
$60
Medicare (Facility)
$27
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$48
Non-facility setting
Hospital Outpatient
$60
OPPS rate

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These procedures are frequently performed alongside Remove impacted ear wax uni

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How to Reduce Your Cost for Remove impacted ear wax uni

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($48) differs from the facility rate ($27). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.59
Work RVU
0.15
Practice Expense RVU
0.07
Malpractice RVU
1.43
Total RVU

Payment = Total RVU (1.43) x CF ($33.40) = $48

Frequently Asked Questions

How much does Remove impacted ear wax uni cost?

The Medicare facility rate for Remove impacted ear wax uni is $27. In a hospital outpatient setting, the rate is $60. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Remove impacted ear wax uni cost without insurance?

Without insurance, the cost of Remove impacted ear wax uni can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Remove impacted ear wax uni?

Most commercial health insurance plans and Medicare cover Remove impacted ear wax uni when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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