Surgery and procedures CPT 69433 Outpatient

Ear tubes, local anesthesia cost in Omaha, NE

In Omaha, NE-IA, 5 hospitals list a cash price for ear tube placement (tympanostomy) with local anesthesia, one ear: from $149.45 to $506.81, with a median of $368.28. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa — $218.83 less than the median here. Across Nebraska, the median is $409.22 at 7 hospitals.

Cash prices at 5 facilities across 4 cities for code 69433, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 14, 2026 and Aug 10, 2026.

Lowest$149.45Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Median$368.28half pay less
Highest$506.81in this market
Difference3.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Omaha, NE-IA.

median
Lowest $149.45Highest $506.81

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa one side lowest Missouri Valley, IA · (712) 642-2784 HC INSERT MT UNILATERAL LOCAL $149.45 $305.00 $106.75–$298.90 51% Feb 28, 2026
source file
Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Tympanostomy local or topical anesthesia $306.90 $1,023.00 $470.58–$908.00 70% Feb 15, 2026
source file
Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Tympanostomy local or topical anesthesia $368.28 $1,023.00 $470.58–$908.00 64% Feb 14, 2026
source file
Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Tympanostomy local or topical anesthesia $368.28 $1,023.00 $470.58–$908.00 64% Feb 14, 2026
source file
Bellevue Medical Center Bellevue, NE · (402) 763-3600 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia $506.81 $779.70 $78.57–$487.83 35% Aug 10, 2026
source file
Nebraska Medical Center Omaha, NE · (402) 559-4000 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia $506.81 $779.70 $78.57–$487.83 35% Aug 10, 2026
source file

Outpatient: lowest $149.45, median $368.28, highest $506.81 — a 3.4× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $306.90. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This code covers placing a small tube in the eardrum while awake, with numbing medicine, usually in older children or adults.

What the price covers

The price covers the procedure and the tube. The office visit may be billed separately.