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
Tympanoplasty W/O Mastoidec 1st/Revj Prosth Torp
Ozark, MO
See all hospitals reporting CPT 69633 →Price type
Mercy Hospital Springfield’s median price of $5.3k is 14% below the median hospital's median price ($6.1k), higher than 31% of the 1,605 hospitals reporting CPT 69633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $363 | $363 | — | — | — | $363 – $363 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $863 | $863 | — | — | — | $863 – $863 |
| 3 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | MultiPlan hb sprg phcs (mpi) facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 6 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 7 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · case rate · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 8 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 9 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 10 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 11 | Aetna hb sprg medicare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 12 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 13 | Cigna hb sprg medicare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 14 | Humana hb sprg humana medicare 100% facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 15 | Medica hb sprg medicare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 16 | Medicare hb sprg medicare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 17 | Tricare hb sprg tricare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 19 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 20 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 21 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 22 | Humana hb sprg humana facility · fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 23 | Anthem hb sprg anthem alliance facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 24 | Blue Cross Blue Shield hb sprg anthem alliance facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 25 | Anthem hb sprg anthem blue access facility · case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
Last updated: Jun 4, 2026
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