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Eardrum And Hearing Bone Repair With Mastoid Opening

Pennsylvania rates for HCPCS 69642

Rebuilds a damaged eardrum and, in the same operation, opens into the air cells of the bone behind the ear to clear disease from them. It also includes rebuilding the tiny chain of hearing bones in the middle ear so sound is carried to the inner ear again.

Rates data updated July 2026.

How much does Eardrum And Hearing Bone Repair With Mastoid Opening cost?

$7,244

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $3,802 to $8,511.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,445 to $12,023
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $7,244

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$7,244.36
Typical High
$11,220.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,848.93
Typical High
$30,199.52
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$6,165.95
Typical High
$12,022.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,801.89
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$17,378.01

Where Pennsylvania sits

The same service costs 302.0 times more in Delaware than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $7,244 · 18th of 50
DE $26,303WV $87.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.