{"procedure":{"code_type":"CPT","code":"69643","lay_name":"Eardrum repair with mastoid surgery, canal wall intact","blurb":"Repair of the eardrum combined with opening of the mastoid air spaces, leaving the ear canal wall intact or rebuilt, without rebuilding the hearing bones.","slug":"cpt-69643-eardrum-repair-with-mastoid-surgery-canal-wall-intact","description":"Tmpp Mastoidect Ntc/Rcnsted Wall W/O Ocr","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"24","label":"Mastoidectomy","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":396,"n_usable":351,"n_not_usable":1,"n_labelled":34,"n_no_cash":8,"n_estimated":2,"n_states":43,"cash_p10":1708.2,"cash_p20":2143.65,"cash_p25":2553.25,"cash_p50":5087.55,"cash_p75":9928.33,"cash_p80":12585.1,"cash_p90":15519.0,"cash_mean_trimmed":5475.67,"gross_p50":5100.0,"cash_to_gross_p50":0.6,"medicare_rate":6048.05,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8412,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":45,"p20":2652.0,"p50":14319.2,"p80":14319.2},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":7,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":2996.8,"p50":2996.8,"p80":3396.0},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":16,"p20":1757.7,"p50":2086.0,"p80":16344.75},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":28,"p20":1364.5,"p50":1453.77,"p80":5087.55},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":4627.0,"p50":6311.0,"p80":6553.49},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":3515.0,"p50":7000.36,"p80":7389.63},{"state":"OH","n":14,"p20":2518.2,"p50":4459.0,"p80":15944.74},{"state":"OK","n":14,"p20":2002.0,"p50":2002.0,"p80":12585.1},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":6936.08,"p50":10001.37,"p80":12739.15},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":22,"p20":7875.61,"p50":9928.33,"p80":9928.33},{"state":"VA","n":1,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":21,"p20":5087.55,"p50":5087.55,"p80":13528.8},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":299,"p20":2163.0,"p50":5087.55,"p80":12561.61},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":41,"p20":1757.7,"p50":5087.55,"p80":13528.8}],"ownership":[{"key":"for_profit","n":35,"p20":1757.7,"p50":5341.43,"p80":10088.3},{"key":"government","n":42,"p20":2208.6,"p50":3753.0,"p80":7000.36},{"key":"nonprofit","n":274,"p20":2143.65,"p50":5087.55,"p80":13528.8}],"affiliation":[{"key":"affiliated","n":289,"p20":2225.6,"p50":5087.55,"p80":13528.8},{"key":"independent","n":62,"p20":1988.5,"p50":3581.0,"p80":9882.0}]},"histogram":[{"lo":1364.5,"hi":1818.25,"n":36},{"lo":1818.25,"hi":2422.9,"n":31},{"lo":2422.9,"hi":3228.62,"n":52},{"lo":3228.62,"hi":4302.27,"n":23},{"lo":4302.27,"hi":5732.95,"n":37},{"lo":5732.95,"hi":7639.4,"n":45},{"lo":7639.4,"hi":10179.83,"n":33},{"lo":10179.83,"hi":13565.05,"n":17},{"lo":13565.05,"hi":18076.0,"n":32},{"lo":18076.0,"hi":24087.03,"n":13}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":225,"n_usable":204,"n_not_usable":0,"n_labelled":15,"n_no_cash":6,"n_estimated":0,"n_states":36,"cash_p10":1757.7,"cash_p20":2002.0,"cash_p25":2225.6,"cash_p50":2996.8,"cash_p75":9186.18,"cash_p80":9928.33,"cash_p90":14319.2,"cash_mean_trimmed":4252.97,"gross_p50":5022.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":39,"p20":2652.0,"p50":14319.2,"p80":14319.2},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":2996.8,"p50":2996.8,"p80":2996.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":1757.7,"p50":2208.6,"p80":2408.4},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":2275.2,"p50":3358.4,"p80":5087.55},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":8,"p20":null,"p50":null,"p80":null},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":2002.0,"p50":2002.0,"p80":2002.0},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":3755.25,"p50":9928.33,"p80":9928.33},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":13,"p20":5087.55,"p50":5087.55,"p80":5087.55},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":171,"p20":2002.0,"p50":2996.8,"p80":9928.33},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":29,"p20":1757.7,"p50":5087.55,"p80":9928.33}],"ownership":[{"key":"for_profit","n":22,"p20":1757.7,"p50":3358.4,"p80":9928.33},{"key":"government","n":21,"p20":2195.39,"p50":2822.25,"p80":3755.25},{"key":"nonprofit","n":161,"p20":2002.0,"p50":2996.8,"p80":9928.33}],"affiliation":[{"key":"affiliated","n":168,"p20":2002.0,"p50":3252.0,"p80":9928.33},{"key":"independent","n":36,"p20":1828.12,"p50":2512.8,"p80":5341.43}]},"histogram":[{"lo":1288.0,"hi":1638.76,"n":8},{"lo":1638.76,"hi":2085.05,"n":27},{"lo":2085.05,"hi":2652.87,"n":35},{"lo":2652.87,"hi":3375.34,"n":31},{"lo":3375.34,"hi":4294.55,"n":11},{"lo":4294.55,"hi":5464.09,"n":21},{"lo":5464.09,"hi":6952.13,"n":6},{"lo":6952.13,"hi":8845.41,"n":3},{"lo":8845.41,"hi":11254.3,"n":19},{"lo":11254.3,"hi":14319.2,"n":24}],"previous":null}},"related":[{"code_type":"CPT","code":"69641","lay_name":"Eardrum repair with mastoid bone surgery","slug":"cpt-69641-eardrum-repair-with-mastoid-bone-surgery"},{"code_type":"CPT","code":"69646","lay_name":"Radical mastoid surgery with eardrum and hearing bone repair","slug":"cpt-69646-radical-mastoid-surgery-with-eardrum-and-hearing-bone-repair"},{"code_type":"CPT","code":"69644","lay_name":"Eardrum and hearing bone repair with mastoid surgery","slug":"cpt-69644-eardrum-and-hearing-bone-repair-with-mastoid-surgery"},{"code_type":"CPT","code":"69642","lay_name":"Eardrum repair with mastoid surgery and hearing bone repair","slug":"cpt-69642-eardrum-repair-with-mastoid-surgery-and-hearing-bone-repair"},{"code_type":"CPT","code":"69645","lay_name":"Eardrum repair with radical or complete mastoid surgery","slug":"cpt-69645-eardrum-repair-with-radical-or-complete-mastoid-surgery"},{"code_type":"CPT","code":"69502","lay_name":"Complete removal of diseased mastoid bone","slug":"cpt-69502-complete-removal-of-diseased-mastoid-bone"},{"code_type":"CPT","code":"69501","lay_name":"Simple mastoid surgery to open the air space behind the ear","slug":"cpt-69501-simple-mastoid-surgery-to-open-the-air-space-behind-the-ear"},{"code_type":"CPT","code":"69601","lay_name":"Redo mastoid surgery ending as a complete mastoidectomy","slug":"cpt-69601-redo-mastoid-surgery-ending-as-a-complete-mastoidectomy"},{"code_type":"CPT","code":"69505","lay_name":"Modified radical mastoid surgery","slug":"cpt-69505-modified-radical-mastoid-surgery"},{"code_type":"CPT","code":"69602","lay_name":"Redo mastoid surgery converted to modified radical type","slug":"cpt-69602-redo-mastoid-surgery-converted-to-modified-radical-type"},{"code_type":"CPT","code":"69511","lay_name":"Radical mastoid surgery","slug":"cpt-69511-radical-mastoid-surgery"},{"code_type":"CPT","code":"69910","lay_name":"Removal of the inner ear balance organ with mastoid surgery","slug":"cpt-69910-removal-of-the-inner-ear-balance-organ-with-mastoid-surgery"}]}