CPT 69005 Surgery - Auditory
Drg xtrnl ear absc/hem comp Cost
Body System: Auditory
Medicare Facility Rate
$146
CMS PFS CY2026
Medicare Non-Facility Rate
$222
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$142
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.11
Work RVU
1.94
Facility PE RVU
0.33
Malpractice RVU
6.66
Total RVU
Frequently Asked Questions
How much does Drg xtrnl ear absc/hem comp cost?
The Medicare facility rate is $146. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $142.
How much does Drg xtrnl ear absc/hem comp 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 $146.