Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Tympanic Memb Rpr W/WO Prepj Perfor Patch
Low
$5
Average
$3.0k
Median
$2.0k
High
$32.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
879 hospitals; the 90th percentile is 13.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,200 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 12 | $4.0k | $6.2k | $3.7k | 60% | 391 | $812 – $11.8k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $6.0k | $7.5k | $2.9k | 39% | 152 | $5.7k – $12.6k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $3.4k | $3.8k | $1.2k | 31% | 88 | $2.7k – $6.7k |
| 4 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $1.4k | $1.4k | — | — | 46 | $1.4k – $1.4k |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $1.5k | $1.3k | $296 | 22% | 44 | $817 – $1.5k |
| 6 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $4.1k | $4.1k | — | — | 18 | $4.1k – $4.1k |
| 7 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $3.2k | $5.6k | $4.3k | 78% | 9–90 | $2.9k – $13.7k |
| 8 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 7 | $7.7k | $8.5k | $1.7k | 20% | 9–90 | $7.3k – $13.1k |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $323 | $323 | — | — | 4–40 | $323 – $323 |
| 10 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.1k | $189 | 17% | 4–40 | $790 – $1.3k |
| 11 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.0k | $179 | 17% | 4–40 | $749 – $1.2k |
| 12 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 21 | $3.8k | $3.8k | — | — | 4–40 | $3.8k – $3.8k |
| 13 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | 2–20 | $2.4k – $2.4k |
| 14 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $462 | $462 | $155 | 34% | 2–20 | $307 – $617 |
| 15 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $462 | $462 | $155 | 34% | 2–20 | $307 – $617 |
| 16 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | 2–20 | $5.3k – $5.3k |
| 17 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 18 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 2 | $1.2k | $1.2k | $302 | 25% | 2–20 | $906 – $1.5k |
| 19 | Saratoga Hospital Saratoga Springs, NY facility · case rate · outpatient | 8 | $3.0k | $3.3k | $1.4k | 43% | 2–20 | $1.3k – $5.5k |
| 20 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.0k | $1.4k | 35% | 2–20 | $2.6k – $5.3k |
| 21 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 22 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 11 | $2.3k | $2.7k | $1.3k | 47% | 1–10 | $1.4k – $5.5k |
| 23 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 24 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $366 | $366 | $41 | 11% | 1–10 | $326 – $407 |
| 25 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
← Payers reporting CPT 69610 · Snapshot 20261111T120946Z-9134e7f7