Eardrum repair (tympanoplasty) Cost by Hospital

Eardrum repair (tympanoplasty) is a surgical procedure. Prices are from 1233 US hospitals across 51 states, from their machine-readable files.

$5,419median cash price · 1233 hospitals, 51 statestypically $1,423–$19,386 depending on the hospital
≈ 6.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$9,831
Cash / self-pay
$5,419
Insurer-negotiated
$5,938
Medicare pays
$799
$1,423$19,386
Median cash $5,419  ·  Medicare $799  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,419 — about 6.8× the Medicare rate ($799). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,599).

💡 Asking for the cash price instead of the $9,831 list price could save about $4,412 (45%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Canton-Potsdam Hospital Potsdam, NY $864 $874 ★ 2/5 142 min —
Ste Genevieve County Memorial Hospital Sainte Genevieve, MO $913 $745 ★ 4/5 103 min —
Bayside Community Hospital Anahuac, TX $928 $534 — 106 min —
Vanderbilt Bedford Hospital Shelbyville, TN $1,004 $1,551 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,004 $1,430 ★ 3/5 168 min —
Kau Hospital Pahala, HI $1,041 — — 79 min —
McLaren Northern Michigan Petoskey, MI $1,074 $788 ★ 3/5 157 min —
McLaren Greater Lansing Lansing, MI $1,074 $788 ★ 3/5 261 min —
McLaren Lapeer Region Lapeer, MI $1,074 $788 ★ 2/5 186 min —
McLaren Oakland Pontiac, MI $1,074 $788 ★ 2/5 103 min —
McLaren Port Huron Port Huron, MI $1,074 $788 ★ 2/5 231 min —
McLaren Macomb Mount Clemens, MI $1,074 $788 ★ 1/5 172 min —
McLaren Caro Region Caro, MI $1,074 $788 — 72 min —
McLaren Thumb Region Bad Axe, MI $1,074 $788 ★ 5/5 119 min —
Community Memorial Hospital Cloquet, MN $1,095 $1,635 — 123 min —
Southwest General Health Center Middleburg Heights, OH $1,114 $814 ★ 4/5 199 min —
Citizens Memorial Hospital Bolivar, MO $1,158 $6,319 ★ 3/5 186 min —
Hospital Pavia Caguas Caguas, PR $1,200 $400 — — —
Astria Toppenish Hospital Toppenish, WA $1,262 $3,237 — 150 min —
Adams County Regional Medical Center Seaman, OH $1,266 $1,670 ★ 3/5 189 min —
Ellis Hospital Schenectady, NY $1,317 $921 ★ 3/5 232 min —
Regional West Medical Center Scottsbluff, NE $1,321 $1,704 ★ 2/5 202 min —
Hays Medical Center Hays, KS $1,376 $6,324 ★ 3/5 112 min —
Southwestern Vermont Medical Center Bennington, VT $1,377 — ★ 3/5 202 min —
Bassett Healthcare Cooperstown, NY $1,386 $1,260 ★ 2/5 199 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Eardrum repair (tympanoplasty)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $5,419; Medicare pays $799.

InsurerHospitalsNegotiated median
Medicaid 125
$399
$211 – $2,842
Univera 11
$744
$67 – $963
Medicare 214
$856
$360 – $7,221
Independent Health 15
$1,023
$421 – $2,222
Geisinger 24
$1,478
$1,006 – $15,065
AmeriHealth 113
$1,594
$727 – $14,789
Tricare / VA 131
$1,613
$397 – $7,046
Priority Health 26
$1,850
$655 – $5,899
Workers' Comp / No-Fault 25
$2,048
$2,048 – $9,011
Amerigroup 112
$2,052
$740 – $5,937
Molina Healthcare 355
$2,150
$700 – $7,241
MVP Health Care 35
$2,387
$746 – $13,593
Sanford Health Plan 26
$2,453
$658 – $10,475
Bright Health 35
$2,559
$1,876 – $7,550
Centene / Ambetter 453
$3,147
$749 – $11,090
HealthPartners 74
$3,637
$751 – $10,462
Highmark 68
$3,704
$365 – $12,902
Harvard Pilgrim 14
$3,744
$1,123 – $9,961
Medica 52
$4,510
$889 – $7,534
Humana 553
$4,955
$826 – $7,774
Aetna 721
$5,102
$989 – $11,477
SelectHealth 29
$5,307
$2,005 – $10,469
MultiPlan / PHCS network 179
$5,350
$1,089 – $12,803
UPMC Health Plan 42
$5,601
$1,016 – $16,307
Coventry 31
$5,609
$923 – $13,912
UCare 34
$5,761
$681 – $10,398
Anthem 334
$5,869
$826 – $10,720
Health Net 99
$5,879
$892 – $14,162
Devoted Health 103
$5,890
$5,424 – $6,593
Security Health Plan 21
$5,928
$827 – $13,221
Blue Cross Blue Shield 671
$5,981
$593 – $14,891
UnitedHealthcare 821
$5,987
$864 – $14,001
Cigna 575
$6,802
$2,442 – $15,153
EmblemHealth 45
$7,000
$2,558 – $46,702
Kaiser Permanente 122
$7,148
$839 – $19,796
Healthcare Highways 32
$7,300
$6,326 – $8,569
Oscar Health 136
$8,024
$3,549 – $14,192
AvMed 27
$8,338
$4,281 – $12,418

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Hawaii$1,041
Michigan$1,387
Indiana$1,435
Tennessee$1,869
Montana$2,088
South Carolina$2,231

Prices by city

Chicago, ILAustin, TXDallas, TXFort Worth, TXHouston, TXNew York, NYSacramento, CASan Antonio, TXCharlotte, NCCincinnati, OHCleveland, OHLos Angeles, CAArlington, TXBronx, NYBrooklyn, NYKansas City, MOLittle Rock, ARNashville, TNOmaha, NESan Francisco, CAAurora, COColorado Springs, COKnoxville, TNMilwaukee, WI

Prices by state

TexasCaliforniaOhioFloridaWisconsinNew YorkMinnesotaIllinoisPennsylvaniaColoradoNorth CarolinaMichiganTennesseeLouisianaNew JerseyMissouriWashingtonIndianaMaineIowaGeorgiaKansasArkansasNebraskaVirginiaSouth CarolinaIdahoWest VirginiaOklahomaKentuckyUtahAlabamaArizonaMassachusettsMississippiNew HampshireNevadaSouth DakotaNew MexicoMontanaConnecticutWyomingNorth DakotaHawaiiDelaware

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Lawrence Stein, M.D.OtolaryngologyWest Hills, CA84
Michael O'leary, M.D.OtolaryngologySan Diego, CA19
Wayne Shaia, M.D.OtolaryngologyRichmond, VA17
Drew Horlbeck, MDOtolaryngologyFort Myers, FL14
Jesse Schmid, M.D.OtolaryngologyLincoln, NE14
James Lin, M.D.OtolaryngologyBaton Rouge, LA11

Browse doctors by specialty & city →

Does Medicare cover Eardrum repair (tympanoplasty)?

Yes — Medicare generally covers Eardrum repair (tympanoplasty). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $799. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $160 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1233 US hospitals across 51 states, the typical (median) cash price is $5,419, versus a chargemaster (list) price around $9,831, a median insurer-negotiated rate of $5,938, a Medicare rate of about $799. Most cash prices fall between $1,423 and $19,386 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Eardrum repair (tympanoplasty) cost without insurance?
The median cash (self-pay) price across 1233 US hospitals is $5,419. Most hospitals fall between $1,423 and $19,386. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Eardrum repair (tympanoplasty)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $799). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Eardrum repair (tympanoplasty)?
Medicare pays about $799. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Eardrum repair (tympanoplasty) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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