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
RMVL FB XTRNL AUD CANAL W/O AN
Watertown, NY
See all hospitals reporting CPT 69200 →Price type
Samaritan Medical Center’s median price of $151 is 12% below the median hospital's median price ($172), higher than 39% of the 2,361 hospitals reporting CPT 69200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 14 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 | WellCare medicare advantage professional · fee schedule · both | $40.01 | $40.01 | $40.01 – $40.01 |
| 2 | Excellus commercial professional · fee schedule · both | $57.52 | $57.52 | $57.52 – $57.52 |
| 3 | WellCare medicare advantage facility · other · inpatient | $76.27 | $76.27 | $76.27 – $76.27 |
| 4 | Excellus medicare advantage facility · other · inpatient | $81.68 | $81.68 | $81.68 – $81.68 |
| 5 | Excellus medicare advantage professional · other · both | $81.68 | $81.68 | $81.68 – $81.68 |
| 6 | Aetna medicare advantage facility · other · inpatient | $128.08 | $128.08 | $128.08 – $128.08 |
| 7 | Aetna medicare advantage professional · other · both | $128.08 | $128.08 | $128.08 – $128.08 |
| 8 | Excellus medicare advantage facility · case rate · outpatient | $166.08 | $166.08 | $166.08 – $166.08 |
| 9 | WellCare medicare advantage facility · case rate · outpatient | $166.08 | $166.08 | $166.08 – $166.08 |
| 10 | Aetna medicare advantage facility · case rate · outpatient | $169.40 | $169.40 | $169.40 – $169.40 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $171.06 | $171.06 | $171.06 – $171.06 |
| 12 | UnitedHealthcare commercial facility · case rate · outpatient | $300.00 | $300.00 | $300.00 – $300.00 |
| 13 | Excellus commercial facility · case rate · outpatient | $762.32 | $762.32 | $762.32 – $762.32 |
| 14 | Aetna commercial facility · case rate · outpatient | $3,060 | $3,060 | $3,060 – $3,060 |
Last updated: Feb 2, 2026
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