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Procedure price report · Other therapeutic procedures

Use of an operating microscope during surgery (add-on)

CPT 69990the billing code this page is about

Add-on charge for microsurgery technique using an operating microscope; billed in addition to the main surgical procedure, never alone.

Hospitals typically charge $586 cash for this outpatient procedure — the median across 542 hospitals that filed a usable cash price; the average of the middle 60% is $774. Most fall between $350 and $1,996 (20th–80th percentile).

Hospitals
542
States
47
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 542 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$229$393$586$1,511$4,327

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($229 vs $4,327).

How the prices are spread

$137 – $210: 17 hospitals$137$210 – $321: 55 hospitals$321 – $492: 97 hospitals$321$492 – $754: 131 hospitals$754 – $1,155: 54 hospitals$754$1,155 – $1,770: 28 hospitals$1,770 – $2,713: 40 hospitals$1,770$2,713 – $4,157: 36 hospitals$4,157 – $6,370: 20 hospitals$4,157$6,370 – $9,761: 11 hospitals$6,370median $586price bands are equal on a log scale
Hospitals per price band (489 of 542 — the bands cover the 5th to 95th percentile)
FromToHospitals
$137$21017
$210$32155
$321$49297
$492$754131
$754$1,15554
$1,155$1,77028
$1,770$2,71340
$2,713$4,15736
$4,157$6,37020
$6,370$9,76111

By state

The median cash price in each state, against the national median of $586.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $596 across 17 hospitalsWA$596Idaho: median $818 across 11 hospitalsID$818Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $617 across 25 hospitalsMN$617Illinois: median $712 across 27 hospitalsIL$712Wisconsin: median $1,840 across 29 hospitalsWI$1,840Michigan: median $443 across 34 hospitalsMI$443New York: median $421 across 25 hospitalsNY$421Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $398 across 13 hospitalsOR$398Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $511 across 23 hospitalsIA$511Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $900 across 17 hospitalsOH$900Pennsylvania: median $560 across 22 hospitalsPA$560New Jersey: median $5,741 across 22 hospitalsNJ$5,741Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $538 across 51 hospitalsCA$538Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $446 across 12 hospitalsNE$446Missouri: median $350 across 16 hospitalsMO$350Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $244 across 11 hospitalsWV$244Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $452 across 12 hospitalsOK$452Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $641 across 14 hospitalsGA$641Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,901 across 24 hospitalsTX$1,901Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $586. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ22$5,741+880%$4,350 – $9,761
Texas TX24$1,901+224%$675 – $1,996
Wisconsin WI29$1,840+214%$745 – $3,391
Ohio OH17$900+54%$538 – $2,549
Idaho ID11$818+40%$618 – $818
Illinois IL27$712+22%$378 – $1,576
Georgia GA14$641+9%$497 – $949
Minnesota MN25$617+5%$468 – $1,276
Washington WA17$596+2%$513 – $1,126
Pennsylvania PA22$560−4%$43 – $5,446
California CA51$538−8%$538 – $2,725
Iowa IA23$511−13%$328 – $511
Oklahoma OK12$452−23%$452 – $452
Nebraska NE12$446−24%$392 – $972
Michigan MI34$443−24%$315 – $522
New York NY25$421−28%$273 – $1,170
Oregon OR13$398−32%$389 – $1,142
Missouri MO16$350−40%$308 – $11,425
West Virginia WV11$244−58%$242 – $635
Arkansas AR8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $586.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care394$538$360 – $2,725
Children’s23$980$599 – $1,175
Critical access124$574$246 – $1,276
Ownership
For-profit33$641$269 – $1,840
Government81$496$290 – $1,064
Non-profit427$624$378 – $2,286
System affiliation
Part of a system433$593$350 – $1,996
Independent109$565$353 – $1,272

Cash price vs list price

Median list price (chargemaster)$818
Median cash price$586
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

341 hospitals filed a usable inpatient cash price for this code. The median is $514 and the average of the middle 60% is $602; most fall between $300 and $1,475.

Cash price percentiles, inpatient, across 341 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$211$353$514$1,126$2,350

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($211 vs $2,350).

Of the 378 hospitals that filed this code inpatient, 341 gave a usable cash price; 19 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

542 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 629 hospitals that filed this code at all gave us
Usable cash price — counted542
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded6
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded35
Hospitals that filed this code629

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other therapeutic procedures family.

Hospitals file this code under descriptions such as Microsurg Tqs Req Use Operating Microscope.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Use of an operating microscope during surgery (add-on) (CPT 69990) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-69990-use-of-an-operating-microscope-during-surgery-add-on