Ear tubes, local anesthesia cost without insurance
The median hospital cash price for ear tube placement (tympanostomy) with local anesthesia, one ear is $741.60 across 629 US hospitals; most list between $283.76 and $2,097.00. The lowest outpatient cash price in any of 332 markets is $64.24. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Tonsillectomy costs
Lowest$64.24any market
Median market$619.38middle of market medians
Most below$2,097.009 in 10 hospitals
Listings625hospital prices
Compared with Medicare
$551.01 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $741.60 across 629 hospitals, is 1.3× that.
Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for ear tubes, local anesthesia, the highest negotiated rate in a hospital's file has a median of $1,503.00 and the lowest a median of $230.40. At 418 of 492 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 69433?
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.
Why prices differ
Ear, nose and throat offices often do this in the office for much less than a hospital.
What to ask
Ask whether the self-pay price for CPT 69433 includes the visit and a hearing test if one is needed.
Prices by state
Among 34 states with at least 5 hospitals listing a cash price, the median is lowest in Oklahoma ($284.00), Kentucky ($323.80) and Michigan ($326.23), and highest in New Jersey ($3,886.00), Massachusetts ($1,424.50) and Ohio ($1,324.05).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$279.75, 1 hospital
- Alaska$938.00, 3 hospitals
- Arizona$584.09, 2 hospitals
- Arkansas$468.00
- California$1,024.40
- Colorado$470.43, 3 hospitals
- Connecticut$738.24, 1 hospital
- Delaware$2,746.00, 1 hospital
- District of Columbia$1,678.43, 1 hospital
- Florida$1,072.00
- Georgia$911.43
- Hawaii$1,221.50, 3 hospitals
- Idaho$709.71
- Illinois$550.00
- Indiana$593.60, 3 hospitals
- Iowa$417.02
- Kansas$446.40
- Kentucky$323.80
- Louisiana$508.00
- Maine$344.25
- Massachusetts$1,424.50
- Michigan$326.23
- Minnesota$478.79
- Mississippi$370.80
- Missouri$541.70
- Montana$435.78
- Nebraska$455.17
- Nevada$807.20, 2 hospitals
- New Jersey$3,886.00
- New Mexico$389.92, 2 hospitals
- New York$1,089.00
- North Carolina$651.78
- North Dakota$996.83
- Ohio$1,324.05
- Oklahoma$284.00
- Oregon$563.08
- Pennsylvania$1,096.60
- Rhode Island$2,938.32, 2 hospitals
- South Carolina$999.22
- South Dakota$741.60
- Tennessee$380.60
- Texas$811.68
- Utah$875.98, 1 hospital
- Vermont$352.40, 4 hospitals
- Virginia$818.00
- Washington$523.75
- West Virginia$620.00
- Wisconsin$522.60
- Wyoming$458.28, 2 hospitals
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aitkin, MN single city | 1 | $102.76 | $102.76 | $102.76 | 1.0× |
| Akron, OH | 2 | $663.75 | $1,356.00 | $2,048.25 | 3.1× |
| Alamosa, CO | 1 | $449.35 | $449.35 | $449.35 | 1.0× |
| Albuquerque, NM | 1 | $422.83 | $422.83 | $422.83 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $1,019.29 | $1,019.29 | $1,019.29 | 1.0× |
| Alma, NE single city | 1 | $232.37 | $232.37 | $232.37 | 1.0× |
| Anchorage, AK | 1 | $3,289.00 | $3,289.00 | $3,289.00 | 1.0× |
| Anderson Creek, NC | 1 | $650.40 | $650.40 | $650.40 | 1.0× |
| Andrews, TX one side | 1 | $1,350.50 | $1,350.50 | $1,350.50 | 1.0× |
| Ann Arbor, MI | 1 | $724.00 | $724.00 | $724.00 | 1.0× |
| Antigo, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Appleton, MN single city | 1 | $546.55 | $546.55 | $546.55 | 1.0× |
| Appleton, WI | 3 | $462.84 | $781.20 | $781.20 | 1.7× |
| Arkansas City-Winfield, KS | 1 | $1,978.95 | $1,978.95 | $1,978.95 | 1.0× |
| Asheville, NC | 1 | $1,506.00 | $1,506.00 | $1,506.00 | 1.0× |
| Ashland, WI single city | 1 | $362.92 | $362.92 | $362.92 | 1.0× |
| Astoria, OR | 2 | $516.00 | $547.88 | $579.75 | 1.1× |
| Atkinson, NE single city | 1 | $886.00 | $886.00 | $886.00 | 1.0× |
| Atkinson, NE both sides single city | 1 | $1,768.00 | $1,768.00 | $1,768.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 11 | $911.43 | $911.43 | $47,109.00 | 51.7× |
| Atlantic City-Hammonton, NJ | 1 | $697.80 | $697.80 | $697.80 | 1.0× |
| Auburn, NE single city | 1 | $414.00 | $414.00 | $414.00 | 1.0× |
| Audubon, IA single city | 1 | $390.00 | $390.00 | $390.00 | 1.0× |
| Augusta-Richmond County, GA-SC | 2 | $911.43 | $914.04 | $916.65 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 7 | $1,047.93 | $1,047.93 | $1,089.85 | 1.0× |
| Bangor, ME | 2 | $313.02 | $344.25 | $375.48 | 1.2× |
| Baton Rouge, LA | 1 | $1,018.56 | $1,018.56 | $1,018.56 | 1.0× |
| Bay City, MI | 1 | $389.50 | $389.50 | $389.50 | 1.0× |
| Beaumont-Port Arthur, TX | 1 | $533.12 | $533.12 | $533.12 | 1.0× |
| Beaver Dam, WI | 1 | $358.15 | $358.15 | $358.15 | 1.0× |
| Beckley, WV | 1 | $110.40 | $110.40 | $110.40 | 1.0× |
| Belmond, IA single city | 1 | $344.40 | $344.40 | $344.40 | 1.0× |
| Bemidji, MN | 1 | $712.00 | $712.00 | $712.00 | 1.0× |
| Berlin, WI single city | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| Bethany, MO single city | 1 | $520.00 | $520.00 | $520.00 | 1.0× |
| Birmingham, AL | 1 | $279.75 | $279.75 | $279.75 | 1.0× |
| Bismarck, ND | 1 | $898.40 | $898.40 | $898.40 | 1.0× |
| Blackfoot, ID | 1 | $917.41 | $917.41 | $917.41 | 1.0× |
| Bloomington, IL | 1 | $1,597.00 | $1,597.00 | $1,597.00 | 1.0× |
| Bluefield, WV-VA | 1 | $327.50 | $327.50 | $327.50 | 1.0× |
| Boise City, ID | 5 | $357.22 | $414.05 | $1,423.00 | 4.0× |
| Boston-Cambridge-Newton, MA-NH | 8 | $794.00 | $1,427.75 | $4,150.00 | 5.2× |
| Bozeman, MT | 2 | $425.60 | $440.00 | $454.40 | 1.1× |
| Brenham, TX | 1 | $811.68 | $811.68 | $811.68 | 1.0× |
| Brookings, SD one side | 1 | $139.50 | $139.50 | $139.50 | 1.0× |
| Bucyrus, OH | 1 | $6,321.48 | $6,321.48 | $6,321.48 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $1,089.00 | $1,089.00 | $3,710.00 | 3.4× |
| Burlington-South Burlington, VT | 2 | $256.83 | $393.92 | $531.00 | 2.1× |
| Cades, SC single city | 1 | $929.00 | $929.00 | $929.00 | 1.0× |
| Canton-Massillon, OH | 1 | $553.95 | $553.95 | $553.95 | 1.0× |
| Cape Girardeau, MO-IL | 1 | $2,256.00 | $2,256.00 | $2,256.00 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $357.00 | $357.00 | $357.00 | 1.0× |
| Carroll, IA | 1 | $390.28 | $390.28 | $390.28 | 1.0× |
| Carrollton, IL single city | 1 | $796.80 | $796.80 | $796.80 | 1.0× |
| Carrollton, MO single city | 1 | $292.50 | $292.50 | $292.50 | 1.0× |
| Casper, WY | 1 | $458.28 | $458.28 | $458.28 | 1.0× |
| Champaign-Urbana, IL | 2 | $186.00 | $1,216.50 | $2,247.00 | 12.1× |
| Charles City, IA single city | 1 | $551.20 | $551.20 | $551.20 | 1.0× |
| Charleston, WV | 2 | $737.50 | $929.50 | $1,121.50 | 1.5× |
| Charleston-North Charleston, SC | 1 | $1,284.50 | $1,284.50 | $1,284.50 | 1.0× |
| Charlottesville, VA | 1 | $711.50 | $711.50 | $711.50 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 15 | $204.33 | $550.00 | $11,083.72 | 54.2× |
| Chillicothe, OH | 1 | $1,871.50 | $1,871.50 | $1,871.50 | 1.0× |
| Cincinnati, OH-KY-IN one side | 3 | $441.66 | $4,757.40 | $4,757.40 | 10.8× |
| Cincinnati, OH-KY-IN both sides | 1 | $441.66 | $441.66 | $441.66 | 1.0× |
| Clarksburg, WV | 1 | $620.00 | $620.00 | $620.00 | 1.0× |
| Clarksville, TN-KY | 1 | $211.27 | $211.27 | $211.27 | 1.0× |
| Clay Center, KS single city | 1 | $446.40 | $446.40 | $446.40 | 1.0× |
| Clayton, GA single city | 1 | $564.80 | $564.80 | $564.80 | 1.0× |
| Cleveland, OH | 10 | $897.76 | $2,048.25 | $2,048.25 | 2.3× |
| Clinton, IA | 1 | $284.70 | $284.70 | $284.70 | 1.0× |
| Clinton, MO single city | 1 | $413.89 | $413.89 | $413.89 | 1.0× |
| Coeur d'Alene, ID | 1 | $502.00 | $502.00 | $502.00 | 1.0× |
| College Station-Bryan, TX | 4 | $64.24 | $69.15 | $780.46 | 12.1× |
| Columbia, MO | 1 | $563.40 | $563.40 | $563.40 | 1.0× |
| Columbus, OH | 3 | $371.80 | $423.00 | $6,321.48 | 17.0× |
| Comanche, TX single city | 1 | $1,386.45 | $1,386.45 | $1,386.45 | 1.0× |
| Coshocton, OH | 1 | $507.00 | $507.00 | $507.00 | 1.0× |
| Cynthiana, KY one side single city | 1 | $865.20 | $865.20 | $865.20 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 7 | $543.60 | $1,729.80 | $2,375.01 | 4.4× |
| Dawson, MN single city | 1 | $846.61 | $846.61 | $846.61 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 1 | $464.80 | $464.80 | $464.80 | 1.0× |
| Deckerville, MI single city | 1 | $262.96 | $262.96 | $262.96 | 1.0× |
| Decorah, IA single city | 1 | $345.10 | $345.10 | $345.10 | 1.0× |
| Defiance, OH | 1 | $444.00 | $444.00 | $444.00 | 1.0× |
| DeKalb, MS single city | 1 | $876.99 | $876.99 | $876.99 | 1.0× |
| Denver-Aurora-Centennial, CO | 2 | $470.43 | $716.54 | $962.65 | 2.0× |
| Des Moines-West Des Moines, IA | 1 | $590.00 | $590.00 | $590.00 | 1.0× |
| Detroit-Warren-Dearborn, MI | 4 | $741.60 | $794.65 | $1,604.25 | 2.2× |
| Devils Lake, ND single city | 1 | $1,198.65 | $1,198.65 | $1,198.65 | 1.0× |
| Douglas, WY single city | 1 | $458.28 | $458.28 | $458.28 | 1.0× |
| Duluth, MN-WI | 7 | $66.40 | $369.60 | $437.38 | 6.6× |
| Duncan, OK | 1 | $1,038.26 | $1,038.26 | $1,038.26 | 1.0× |
| Durham, NC single city | 1 | $651.78 | $651.78 | $651.78 | 1.0× |
| Eagle River, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| East Amery, WI single city | 1 | $92.29 | $92.29 | $92.29 | 1.0× |
| Eau Claire, WI | 3 | $358.15 | $522.60 | $2,672.64 | 7.5× |
| Elizabeth City, NC | 1 | $618.50 | $618.50 | $618.50 | 1.0× |
| Elizabethtown, NC single city | 1 | $650.40 | $650.40 | $650.40 | 1.0× |
| Elkhart-Goshen, IN | 1 | $593.60 | $593.60 | $593.60 | 1.0× |
| Ellensburg, WA | 1 | $267.75 | $267.75 | $267.75 | 1.0× |
| Ellsworth, ME single city | 1 | $481.75 | $481.75 | $481.75 | 1.0× |
| Fargo, ND-MN | 2 | $588.00 | $859.20 | $1,130.40 | 1.9× |
| Fayetteville, NC | 3 | $650.40 | $650.40 | $650.40 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 3 | $130.00 | $768.95 | $1,194.57 | 9.2× |
| Fond du Lac, WI | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| Freeport, IL | 1 | $1,190.40 | $1,190.40 | $1,190.40 | 1.0× |
| Fremont, NE | 1 | $409.22 | $409.22 | $409.22 | 1.0× |
| Fresno, CA | 1 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| Friendship, WI single city | 1 | $245.36 | $245.36 | $245.36 | 1.0× |
| Galena, IL single city | 1 | $1,163.89 | $1,163.89 | $1,163.89 | 1.0× |
| Glasgow, KY | 1 | $202.15 | $202.15 | $202.15 | 1.0× |
| Glen Rose, TX single city | 1 | $1,680.00 | $1,680.00 | $1,680.00 | 1.0× |
| Glenwood, MN single city | 1 | $977.94 | $977.94 | $977.94 | 1.0× |
| Grand Forks, ND-MN | 1 | $1,198.65 | $1,198.65 | $1,198.65 | 1.0× |
| Grand Island, NE | 1 | $245.00 | $245.00 | $245.00 | 1.0× |
| Grand Rapids, MN | 1 | $426.49 | $426.49 | $426.49 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 2 | $143.50 | $143.50 | $143.50 | 1.0× |
| Grantsburg, WI single city | 1 | $719.20 | $719.20 | $719.20 | 1.0× |
| Green Bay, WI | 1 | $494.95 | $494.95 | $494.95 | 1.0× |
| Greenfield, OH single city | 1 | $1,871.50 | $1,871.50 | $1,871.50 | 1.0× |
| Greenville, NC | 1 | $718.15 | $718.15 | $718.15 | 1.0× |
| Greenwood, SC | 2 | $916.65 | $993.04 | $1,069.43 | 1.2× |
| Gulfport-Biloxi, MS | 3 | $247.20 | $370.80 | $370.80 | 1.5× |
| Hagerstown-Martinsburg, MD-WV | 1 | $620.00 | $620.00 | $620.00 | 1.0× |
| Hailey, ID | 1 | $1,423.00 | $1,423.00 | $1,423.00 | 1.0× |
| Hammond, LA | 2 | $880.87 | $932.01 | $983.14 | 1.1× |
| Harlan, IA single city | 1 | $417.02 | $417.02 | $417.02 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $790.76 | $1,041.66 | $1,096.60 | 1.4× |
| Harrisonburg, VA | 1 | $711.50 | $711.50 | $711.50 | 1.0× |
| Harwarden, IA single city | 1 | $551.26 | $551.26 | $551.26 | 1.0× |
| Hays, KS | 1 | $93.39 | $93.39 | $93.39 | 1.0× |
| Hayward, WI single city | 1 | $390.04 | $390.04 | $390.04 | 1.0× |
| Helena, MT | 1 | $445.96 | $445.96 | $445.96 | 1.0× |
| Holdrege, NE single city | 1 | $485.10 | $485.10 | $485.10 | 1.0× |
| Holland, MI | 1 | $195.00 | $195.00 | $195.00 | 1.0× |
| Honesdale, PA single city | 1 | $1,192.80 | $1,192.80 | $1,192.80 | 1.0× |
| Hood River, OR | 1 | $579.75 | $579.75 | $579.75 | 1.0× |
| Houghton, MI | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 3 | $488.66 | $488.66 | $3,572.03 | 7.3× |
| Huntington-Ashland, WV-KY-OH one side | 1 | $6,584.61 | $6,584.61 | $6,584.61 | 1.0× |
| Huntington-Ashland, WV-KY-OH both sides | 1 | $6,584.61 | $6,584.61 | $6,584.61 | 1.0× |
| Idaho Falls, ID | 2 | $459.00 | $693.00 | $927.00 | 2.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $2,048.40 | $2,048.40 | $2,048.40 | 1.0× |
| Iowa City, IA | 2 | $3,697.40 | $3,697.40 | $3,697.40 | 1.0× |
| Iron River, MI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Ironwood, MI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Jackson, MS | 2 | $400.00 | $400.00 | $400.00 | 1.0× |
| Janesville-Beloit, WI | 3 | $162.90 | $413.26 | $868.70 | 5.3× |
| Kalispell, MT | 1 | $229.45 | $229.45 | $229.45 | 1.0× |
| Kansas City, MO-KS | 4 | $292.00 | $694.05 | $754.79 | 2.6× |
| Kansas City, MO-KS both sides | 1 | $919.10 | $919.10 | $919.10 | 1.0× |
| Kearney, NE | 1 | $554.00 | $554.00 | $554.00 | 1.0× |
| Kenton, OH single city | 1 | $490.10 | $490.10 | $490.10 | 1.0× |
| Killeen-Temple, TX | 3 | $780.46 | $811.68 | $811.68 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $673.24 | $673.24 | $673.24 | 1.0× |
| Klamath Falls, OR | 1 | $546.40 | $546.40 | $546.40 | 1.0× |
| Kotzebue, AK single city | 1 | $938.00 | $938.00 | $938.00 | 1.0× |
| La Crosse-Onalaska, WI-MN | 2 | $427.60 | $471.54 | $515.48 | 1.2× |
| Ladysmith, WI single city | 1 | $358.15 | $358.15 | $358.15 | 1.0× |
| LaGrange, GA-AL | 1 | $911.43 | $911.43 | $911.43 | 1.0× |
| Lakeland-Winter Haven, FL | 1 | $1,072.00 | $1,072.00 | $1,072.00 | 1.0× |
| Lancaster, PA | 1 | $959.57 | $959.57 | $959.57 | 1.0× |
| Lansing-East Lansing, MI | 3 | $143.50 | $143.50 | $143.50 | 1.0× |
| Larned, KS single city | 1 | $113.20 | $113.20 | $113.20 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $1,004.40 | $1,004.40 | $1,004.40 | 1.0× |
| Lawton, OK | 1 | $287.63 | $287.63 | $287.63 | 1.0× |
| Leon, IA single city | 1 | $328.00 | $328.00 | $328.00 | 1.0× |
| Lewiston-Auburn, ME | 1 | $159.60 | $159.60 | $159.60 | 1.0× |
| Lexington-Fayette, KY | 2 | $1,285.70 | $1,930.78 | $2,575.86 | 2.0× |
| Lima, OH | 1 | $567.00 | $567.00 | $567.00 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 3 | $468.00 | $468.00 | $1,194.57 | 2.6× |
| Livingston, MT single city | 1 | $684.00 | $684.00 | $684.00 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $936.62 | $1,024.40 | $1,222.25 | 1.3× |
| Louisville, KY single city | 1 | $323.80 | $323.80 | $323.80 | 1.0× |
| Louisville/Jefferson County, KY-IN | 5 | $323.80 | $323.80 | $323.80 | 1.0× |
| Lousiana, MO single city | 1 | $411.20 | $411.20 | $411.20 | 1.0× |
| Madison, MN single city | 1 | $520.20 | $520.20 | $520.20 | 1.0× |
| Madison, WI | 2 | $522.60 | $1,350.09 | $2,177.57 | 4.2× |
| Madisonville, TX single city | 1 | $73.04 | $73.04 | $73.04 | 1.0× |
| Mansfield, OH | 1 | $6,321.48 | $6,321.48 | $6,321.48 | 1.0× |
| Marble Falls, TX single city | 1 | $780.46 | $780.46 | $780.46 | 1.0× |
| Marietta, OH | 2 | $282.79 | $293.58 | $304.36 | 1.1× |
| Mason City, IA | 1 | $339.30 | $339.30 | $339.30 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $1,118.37 | $1,124.27 | $1,140.33 | 1.0× |
| McAlester, OK | 1 | $157.60 | $157.60 | $157.60 | 1.0× |
| McCall, ID single city | 1 | $1,423.00 | $1,423.00 | $1,423.00 | 1.0× |
| Meadville, PA one side | 1 | $147.60 | $147.60 | $147.60 | 1.0× |
| Medford, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Memphis, TN-MS-AR | 6 | $318.78 | $318.78 | $380.60 | 1.2× |
| Meridian, MS | 2 | $173.60 | $512.59 | $851.57 | 4.9× |
| Merrill, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 6 | $481.00 | $554.20 | $4,358.75 | 9.1× |
| Milwaukee-Waukesha, WI | 6 | $157.94 | $950.00 | $950.00 | 6.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 3 | $502.86 | $683.20 | $3,775.00 | 7.5× |
| Minocqua, WI single city | 1 | $358.15 | $358.15 | $358.15 | 1.0× |
| Minot, ND | 2 | $523.20 | $523.20 | $523.20 | 1.0× |
| Missoula, MT | 1 | $1,033.01 | $1,033.01 | $1,033.01 | 1.0× |
| Modesto, CA | 1 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| Monroe, LA | 1 | $490.63 | $490.63 | $490.63 | 1.0× |
| Montour Falls, NY single city | 1 | $691.27 | $691.27 | $691.27 | 1.0× |
| Montpelier, ID single city | 1 | $456.03 | $456.03 | $456.03 | 1.0× |
| Morgantown, WV | 1 | $803.00 | $803.00 | $803.00 | 1.0× |
| Morris, MN single city | 1 | $237.75 | $237.75 | $237.75 | 1.0× |
| Moultrie, GA | 1 | $425.00 | $425.00 | $425.00 | 1.0× |
| Mount Vernon, OH one side | 1 | $594.36 | $594.36 | $594.36 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $476.00 | $476.00 | $476.00 | 1.0× |
| Nacogdoches, TX | 1 | $118.00 | $118.00 | $118.00 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $638.29 | $656.31 | $674.32 | 1.1× |
| Natchitoches, LA one side | 2 | $508.00 | $921.00 | $1,334.00 | 2.6× |
| Navasota, TX single city | 1 | $85.38 | $85.38 | $85.38 | 1.0× |
| Nebraska City, NE one side single city | 1 | $464.94 | $464.94 | $464.94 | 1.0× |
| Neillsville, WI single city | 1 | $358.15 | $358.15 | $358.15 | 1.0× |
| Nevada, MO single city | 1 | $825.75 | $825.75 | $825.75 | 1.0× |
| New London, WI single city | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| New Orleans-Metairie, LA | 9 | $228.76 | $327.60 | $22,351.37 | 97.7× |
| New York-Newark-Jersey City, NY-NJ | 50 | $391.00 | $1,529.50 | $6,839.00 | 17.5× |
| Newport, VT single city | 1 | $404.80 | $404.80 | $404.80 | 1.0× |
| Nome, AK single city | 1 | $764.50 | $764.50 | $764.50 | 1.0× |
| Oklahoma City, OK | 1 | $65.53 | $65.53 | $65.53 | 1.0× |
| Olla, LA single city | 1 | $632.00 | $632.00 | $632.00 | 1.0× |
| Omaha, NE-IA | 6 | $148.50 | $437.55 | $1,744.50 | 11.7× |
| Ontario, OR-ID | 1 | $384.80 | $384.80 | $384.80 | 1.0× |
| Orangeburg, SC | 1 | $1,284.50 | $1,284.50 | $1,284.50 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 5 | $1,072.00 | $1,072.00 | $1,426.00 | 1.3× |
| Oshkosh-Neenah, WI | 2 | $781.20 | $781.20 | $781.20 | 1.0× |
| Owosso, MI | 1 | $164.80 | $164.80 | $164.80 | 1.0× |
| Palm Bay-Melbourne-Titusville, FL | 1 | $1,072.00 | $1,072.00 | $1,072.00 | 1.0× |
| Panama City-Panama City Beach, FL | 1 | $1,628.00 | $1,628.00 | $1,628.00 | 1.0× |
| Park Falls, WI single city | 1 | $358.15 | $358.15 | $358.15 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $620.00 | $620.00 | $620.00 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $74.25 | $74.25 | $74.25 | 1.0× |
| Peoria, IL | 1 | $982.00 | $982.00 | $982.00 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $2,746.00 | $2,746.00 | $2,746.00 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $661.83 | $661.83 | $661.83 | 1.0× |
| Pikeville, KY | 1 | $110.40 | $110.40 | $110.40 | 1.0× |
| Pine Bluff, AR | 1 | $313.00 | $313.00 | $313.00 | 1.0× |
| Pittsburgh, PA | 3 | $2,274.00 | $2,813.40 | $4,470.00 | 2.0× |
| Platteville, WI | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Polson, MT single city | 1 | $193.60 | $193.60 | $193.60 | 1.0× |
| Port St. Lucie, FL | 1 | $1,654.90 | $1,654.90 | $1,654.90 | 1.0× |
| Port Townsend, WA | 1 | $754.40 | $754.40 | $754.40 | 1.0× |
| Portland-South Portland, ME | 1 | $409.76 | $409.76 | $409.76 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 3 | $412.75 | $1,541.05 | $1,541.05 | 3.7× |
| Prairie Du Chien, WI single city | 1 | $814.00 | $814.00 | $814.00 | 1.0× |
| Presque Isle, ME single city | 1 | $270.69 | $270.69 | $270.69 | 1.0× |
| Providence-Warwick, RI-MA | 4 | $794.00 | $1,230.50 | $4,209.63 | 5.3× |
| Raleigh-Cary, NC | 1 | $651.78 | $651.78 | $651.78 | 1.0× |
| Rapid City, SD | 3 | $741.60 | $741.60 | $741.60 | 1.0× |
| Reading, PA | 1 | $860.93 | $860.93 | $860.93 | 1.0× |
| Reno, NV | 1 | $610.00 | $610.00 | $610.00 | 1.0× |
| Rhinelander, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Rice Lake, WI | 1 | $358.15 | $358.15 | $358.15 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 7 | $690.00 | $1,024.40 | $4,080.00 | 5.9× |
| Rochester, NY | 4 | $1,152.40 | $1,803.60 | $2,454.80 | 2.1× |
| Rockford, IL | 1 | $433.92 | $433.92 | $433.92 | 1.0× |
| Rolla, MO | 1 | $361.60 | $361.60 | $361.60 | 1.0× |
| Rushville, IN single city | 1 | $147.07 | $147.07 | $147.07 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $875.98 | $875.98 | $875.98 | 1.0× |
| San Andreas, CA single city | 1 | $392.74 | $392.74 | $392.74 | 1.0× |
| San Antonio-New Braunfels, TX | 2 | $189.00 | $412.11 | $635.22 | 3.4× |
| San Diego-Chula Vista-Carlsbad, CA | 9 | $409.41 | $409.41 | $1,024.40 | 2.5× |
| San Francisco-Oakland-Fremont, CA | 10 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $1,317.20 | $2,088.80 | $2,088.80 | 1.6× |
| Sandusky, MI single city | 1 | $256.80 | $256.80 | $256.80 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| Scranton--Wilkes-Barre, PA | 1 | $2,513.04 | $2,513.04 | $2,513.04 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 3 | $354.20 | $817.10 | $955.23 | 2.7× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $1,072.00 | $1,072.00 | $1,072.00 | 1.0× |
| Sebring, FL | 1 | $1,732.95 | $1,732.95 | $1,732.95 | 1.0× |
| Shawano, WI | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| Shelbyville, TN | 1 | $638.29 | $638.29 | $638.29 | 1.0× |
| Sidney, MT single city | 1 | $384.53 | $384.53 | $384.53 | 1.0× |
| Sistersville, WV single city | 1 | $443.96 | $443.96 | $443.96 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $228.76 | $228.76 | $228.76 | 1.0× |
| Soda Springs, ID single city | 1 | $430.50 | $430.50 | $430.50 | 1.0× |
| South Boston, VA single city | 1 | $890.00 | $890.00 | $890.00 | 1.0× |
| Spearfish, SD | 2 | $741.60 | $741.60 | $741.60 | 1.0× |
| Springfield, MA | 1 | $947.00 | $947.00 | $947.00 | 1.0× |
| Springfield, MO | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| St. Johnsbury, VT single city | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| St. Joseph, MO-KS | 2 | $850.00 | $850.00 | $850.00 | 1.0× |
| St. Louis, MO-IL | 1 | $514.50 | $514.50 | $514.50 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $202.50 | $202.50 | $202.50 | 1.0× |
| Sterling, IL | 1 | $710.50 | $710.50 | $710.50 | 1.0× |
| Stevens Point-Plover, WI | 3 | $358.15 | $522.60 | $522.60 | 1.5× |
| Stockton-Lodi, CA | 1 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| Suffolk, VA single city | 1 | $818.00 | $818.00 | $818.00 | 1.0× |
| Syracuse, NE single city | 1 | $1,060.00 | $1,060.00 | $1,060.00 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 5 | $477.50 | $1,072.00 | $2,505.65 | 5.2× |
| Temple, TX single city | 1 | $811.68 | $811.68 | $811.68 | 1.0× |
| Toledo, OH | 1 | $693.00 | $693.00 | $693.00 | 1.0× |
| Tomahawk, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Topeka, KS | 1 | $618.75 | $618.75 | $618.75 | 1.0× |
| Torrington, CT single city | 1 | $738.24 | $738.24 | $738.24 | 1.0× |
| Trenton-Princeton, NJ | 1 | $5,110.00 | $5,110.00 | $5,110.00 | 1.0× |
| Truckee-Grass Valley, CA | 1 | $610.00 | $610.00 | $610.00 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $638.29 | $638.29 | $638.29 | 1.0× |
| Twin Falls, ID | 1 | $1,169.00 | $1,169.00 | $1,169.00 | 1.0× |
| Two Harbors, MN single city | 1 | $661.69 | $661.69 | $661.69 | 1.0× |
| Upper Sandusky, OH single city | 1 | $484.33 | $484.33 | $484.33 | 1.0× |
| Urban Honolulu, HI | 3 | $1,221.50 | $1,221.50 | $1,221.50 | 1.0× |
| Utica-Rome, NY | 1 | $3,768.41 | $3,768.41 | $3,768.41 | 1.0× |
| Vallejo, CA | 2 | $2,088.80 | $2,088.80 | $2,088.80 | 1.0× |
| Van Wert, OH | 1 | $349.05 | $349.05 | $349.05 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 7 | $742.99 | $818.00 | $818.00 | 1.1× |
| Waco, TX | 1 | $780.46 | $780.46 | $780.46 | 1.0× |
| Washington Court House, OH | 1 | $3,743.00 | $3,743.00 | $3,743.00 | 1.0× |
| Washington, NC | 1 | $718.15 | $718.15 | $718.15 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 2 | $818.00 | $1,248.22 | $1,678.43 | 2.1× |
| Waterloo-Cedar Falls, IA | 2 | $600.00 | $1,074.80 | $1,549.60 | 2.6× |
| Watertown-Fort Drum, NY | 1 | $1,020.50 | $1,020.50 | $1,020.50 | 1.0× |
| Watford City, ND single city | 1 | $1,095.25 | $1,095.25 | $1,095.25 | 1.0× |
| Waupaca, WI single city | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| Wausau, WI | 2 | $358.15 | $440.38 | $522.60 | 1.5× |
| Waverly, OH single city | 1 | $1,871.50 | $1,871.50 | $1,871.50 | 1.0× |
| Wayne, NE single city | 1 | $445.40 | $445.40 | $445.40 | 1.0× |
| Weatherford, OK | 1 | $284.00 | $284.00 | $284.00 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $203.50 | $203.50 | $203.50 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $571.50 | $571.50 | $571.50 | 1.0× |
| West Point, NE one side single city | 1 | $335.00 | $335.00 | $335.00 | 1.0× |
| West Point, NE both sides single city | 1 | $407.00 | $407.00 | $407.00 | 1.0× |
| West Union, IA single city | 1 | $592.22 | $592.22 | $592.22 | 1.0× |
| Wheeling, WV-OH | 1 | $1,060.50 | $1,060.50 | $1,060.50 | 1.0× |
| Whitehall, WI single city | 1 | $566.16 | $566.16 | $566.16 | 1.0× |
| Wild Rose, WI single city | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| Windom, MN single city | 1 | $639.20 | $639.20 | $639.20 | 1.0× |
| Windsor, NC single city | 1 | $124.88 | $124.88 | $124.88 | 1.0× |
| Winston-Salem, NC | 3 | $751.00 | $792.50 | $822.00 | 1.1× |
| Wisconsin Rapids-Marshfield, WI | 2 | $358.15 | $440.38 | $522.60 | 1.5× |
| Woodruff, WI single city | 1 | $522.60 | $522.60 | $522.60 | 1.0× |
| Worcester, MA | 2 | $2,176.00 | $2,376.00 | $2,576.00 | 1.2× |
| Yakima, WA | 1 | $278.20 | $278.20 | $278.20 | 1.0× |
| Youngstown-Warren, OH | 2 | $598.20 | $788.37 | $978.53 | 1.6× |
| Yuma, AZ | 1 | $506.35 | $506.35 | $506.35 | 1.0× |
| Zanesville, OH | 1 | $8,874.49 | $8,874.49 | $8,874.49 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 69433?
CPT 69433 is the billing code for ear tube placement (tympanostomy) with local anesthesia, one ear. This code covers placing a small tube in the eardrum while awake, with numbing medicine, usually in older children or adults.
Why place ear tubes?
For repeated ear infections or fluid behind the eardrum that affects hearing.
How long do tubes stay in?
Usually 6 to 18 months, and most fall out on their own.
How much does Medicare pay for CPT 69433 (Ear tubes, local anesthesia)?
$551.01 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $741.60 across 629 hospitals, is 1.3× that.
Is it cheaper to pay cash or use insurance for ear tubes, local anesthesia?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for ear tubes, local anesthesia has a median of $1,503.00 and the lowest a median of $230.40; at 418 of 492 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest ear tubes, local anesthesia?
Among 34 states with at least 5 hospitals listing a cash price, the median is lowest in Oklahoma ($284.00), Kentucky ($323.80) and Michigan ($326.23), and highest in New Jersey ($3,886.00), Massachusetts ($1,424.50) and Ohio ($1,324.05). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other tonsillectomy prices
Median hospital cash price, one per hospital.