CPT 69646 Surgery - Auditory
Revise middle ear & mastoid Cost
Body System: Auditory
Medicare Facility Rate
$1,431
CMS PFS CY2026
Medicare Non-Facility Rate
$1,431
Office/clinic setting
Hospital Outpatient
$6
OPPS rate
Surgery Center (ASC)
$3
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
17.91
Work RVU
22.21
Facility PE RVU
2.73
Malpractice RVU
42.85
Total RVU
Frequently Asked Questions
How much does Revise middle ear & mastoid cost?
The Medicare facility rate is $1,431. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $6. Ambulatory surgery center rate: $3.
How much does Revise middle ear & mastoid 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 $1,431.