Septoplasty or submucous resection. Every bill that usually comes with it, who sends it, and where each number comes from.
Price it for your ZIP, hospital or insurerRates by insurer
| Bill | Surgery center | Hospital outpatient |
|---|---|---|
| Facility | $1,481 | $3,387 |
| Surgeon | $613 | $613 |
| Anesthesia | $184 | $184 |
| Before surgery (typical) | $177 | $177 |
| Total | $2,456 | $4,362 |
National Medicare amounts (payment-area and wage adjustments at 1.0). Facility: OPPS Addendum B, July 2026 (national unadjusted rate); local = rate × (0.6 × wage index + 0.4); ASC Addendum AA, July 2026 (national rate); local = rate × (0.5 × wage index + 0.5); device-intensive (J8) codes keep the device portion unadjusted; FY 2026 IPPS final rule CMS-1833-F, Table 5; standard amounts from Tables 1A-1E; local = weight × (labor × wage index + non-labor + capital × wage index^0.6848). Leaves out teaching (IME), safety-net (DSH) and outlier add-ons. Surgeon: CMS Physician Fee Schedule CY2026 (RVU26D). Anesthesia: CMS base units × the CY2026 anesthesia conversion factor, with an assumed case time. An educational estimate, not a quote.
At national Medicare rates for 2026, the whole septoplasty comes to about $2,456 in a surgery center and about $4,362 in a hospital outpatient, counting the facility, the surgeon, anesthesia and typical care before and after. Commercial plans usually pay more; local rates differ by area.
The surgery center bills for the facility; the surgeon's group bills for the operation (Surgeon, CPT 30520, about $613 from Medicare nationally); the anesthesia group bills by base units plus time (about $184 at our default time); labs, imaging, pathology and therapy each come from their own provider.
90-day global: the fee covers the operation plus the visit the day before and routine follow-up visits for 90 days.