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
$102
Average
$1.7k
Median
$1.5k
High
$10.8k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
156 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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190 hospital rates
iThe hospitals that file a Caresource 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 | Children's Healthcare of Atlanta Atlanta, GA case rate · outpatient | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 2 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 3 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $797 | $797 | — | — | 1–10 | $797 – $797 |
| 4 | Tanner Medical Center - Carrollton Carrollton, GA facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 5 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · other · outpatient | 1 | $724 | $724 | — | — | 1–10 | $724 – $724 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $785 | $785 | — | — | — | $785 – $785 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $2.2k | $2.2k | $726 | 32% | — | $1.5k – $3.0k |
| 10 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Arkansas Childrens Northwest Springdale, AR facility · fee schedule · outpatient | 1 | $948 | $948 | — | — | — | $948 – $948 |
| 12 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 2 | $210 | $210 | — | — | — | $210 – $210 |
| 14 | Baptist Health Medical Center - Conway Conway, AR fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 15 | Baptist Health Medical Center - Magnolia Magnolia, AR fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 16 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 17 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $815 | $815 | — | — | — | $815 – $815 |
| 20 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $903 | $903 | — | — | — | $903 – $903 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $923 | $923 | — | — | — | $923 – $923 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $962 | $962 | — | — | — | $962 – $962 |
| 24 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $1.9k | $1.9k | $333 | 18% | — | $1.6k – $2.2k |
| 25 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 2 | $210 | $210 | — | — | — | $210 – $210 |
← Payers reporting CPT 69610 · Snapshot 20261111T120946Z-9134e7f7