CPT 69000 Surgery - Auditory
Drg xtrnl ear absc/hem smpl Cost
Body System: Auditory
Medicare Facility Rate
$118
CMS PFS CY2026
Medicare Non-Facility Rate
$192
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$136
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.46
Work RVU
1.83
Facility PE RVU
0.23
Malpractice RVU
5.74
Total RVU
Frequently Asked Questions
How much does Drg xtrnl ear absc/hem smpl cost?
The Medicare facility rate is $118. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $136.
How much does Drg xtrnl ear absc/hem smpl cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $118.