Price AtlasInteractive atlas · All states · techysurgeon.comBalloon sinuplasty: what insurers pay
Opening a sinus passage with a balloon: maxillary (31295), frontal (31296) or sphenoid (31297). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 31295: Nsl/Sins Ndsc Surg Max Sins
79 hospitals in 29 markets. National Medicare rate $7,210, surgery center $3,105.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,040–$7,040 |
| Austin TX | 1 | — | — | — | $8,593–$8,593 |
| Boston MA | 7 | $8,032 | $9,872 | $11,106 | $6,481–$12,338 |
| California (statewide) | 1 | — | — | — | $13,616–$13,616 |
| Chicago IL | 5 | $7,188 | $8,158 | $8,992 | $6,835–$11,462 |
| Cleveland OH | 5 | $8,898 | $12,654 | $14,455 | $4,827–$16,370 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,497–$9,774 |
| Denver CO | 7 | $6,017 | $6,866 | $6,958 | $5,215–$7,035 |
| Detroit MI | 2 | — | — | — | $5,281–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $8,383–$8,383 |
| Houston TX | 1 | — | — | — | $7,803–$7,803 |
| Kansas (statewide) | 1 | — | — | — | $9,018–$9,018 |
| Las Vegas NV | 2 | — | — | — | $5,542–$10,484 |
| Los Angeles CA | 2 | — | — | — | $14,322–$17,277 |
| Nashville TN | 3 | — | — | — | $5,597–$7,470 |
| New York City | 2 | — | — | — | $8,314–$10,024 |
| Ohio (statewide) | 1 | — | — | — | $10,654–$10,654 |
| Pennsylvania (statewide) | 1 | — | — | — | $19,326–$19,326 |
| Philadelphia PA | 5 | $6,738 | $7,409 | $9,172 | $6,259–$11,208 |
| Phoenix AZ | 3 | — | — | — | $6,585–$7,053 |
| Pittsburgh PA | 1 | — | — | — | $21,822–$21,822 |
| Portland OR | 6 | $15,689 | $15,689 | $22,444 | $15,689–$24,695 |
| Richmond VA | 2 | — | — | — | $9,687–$10,559 |
| San Antonio TX | 1 | — | — | — | $9,418–$9,418 |
| San Francisco Bay Area CA | 1 | — | — | — | $22,299–$22,299 |
| Seattle-Tacoma WA | 6 | $21,243 | $22,988 | $27,598 | $18,849–$30,470 |
| Tampa FL | 2 | — | — | — | $5,886–$10,706 |
| Washington DC | 4 | — | — | — | $6,312–$9,962 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,827 | 0.7× | 3 | 2026-07-14 |
| Adventhealth Porter | Denver CO | $5,215 | 0.7× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,215 | 0.7× | 3 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $5,281 | 0.8× | 1 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $5,542 | 0.7× | 2 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,597 | 0.8× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,818 | 0.9× | 3 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $5,886 | 0.8× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,259 | 0.9× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $6,312 | 0.8× | 3 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $6,481 | 0.8× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,497 | 0.9× | 3 | 2026-06-29 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $6,585 | 0.9× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $6,585 | 0.9× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $6,738 | 0.9× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $6,819 | 0.9× | 4 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $6,835 | 0.9× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $6,866 | 0.9× | 3 | 2025-11-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,880 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $7,035 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,035 | 0.9× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $7,040 | 1.0× | 6 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $7,053 | 0.9× | 3 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $7,188 | 0.9× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 0.9× | 3 | 2026-09-15 |
| Vanderbilt University Medical Center | Nashville TN | $7,470 | 1.1× | 6 | 2025-10-01 |
| Houston Methodist Hospital | Houston TX | $7,803 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $7,812 | 0.9× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,158 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $8,253 | 1.0× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $8,314 | 0.9× | 9 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,383 | 1.4× | 3 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,593 | 1.2× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $8,898 | 1.3× | 2 | 2026-06-16 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,992 | 1.2× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $9,018 | 1.4× | 5 | 2026-09-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.3× | 3 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.3× | 3 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $9,295 | 1.3× | 5 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $9,418 | 1.3× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,475 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,687 | 1.4× | 4 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $9,774 | 1.4× | 2 | 2026-04-21 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,872 | 1.2× | 1 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $9,927 | 1.4× | 5 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $9,944 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $9,962 | 1.4× | 4 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $10,024 | 1.1× | 7 | 2026-01-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $10,484 | 1.4× | 8 | 2026-07-01 |
| Henrico Doctors' Hospital | Richmond VA | $10,559 | 1.5× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $10,654 | 1.6× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $10,706 | 1.4× | 2 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $10,844 | 1.3× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,367 | 1.3× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $11,462 | 1.5× | 2 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,338 | 1.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $12,654 | 1.9× | 1 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,616 | 1.5× | 5 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,322 | 1.6× | 3 | 2025-11-26 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,455 | 2.2× | 1 | 2026-06-15 |
| Legacy Emanuel Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,370 | 2.5× | 1 | 2026-06-15 |
| Keck Hospital Of Usc | Los Angeles CA | $17,277 | 1.9× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $18,849 | 2.3× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $19,326 | 2.7× | 6 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $21,150 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $21,523 | 2.6× | 6 | 2026-02-28 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $21,822 | 3.2× | 1 | 2026-03-06 |
| Stanford Health Care | San Francisco Bay Area CA | $22,299 | 2.1× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $24,454 | 3.0× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $24,695 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,695 | 3.1× | 3 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $28,646 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,470 | 3.7× | 4 | 2026-08-27 |
CPT 31296: Nsl/Sins Ndsc Surg Frnt Sins
79 hospitals in 30 markets. National Medicare rate $7,210, surgery center $1,496.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,040–$7,040 |
| Austin TX | 1 | — | — | — | $8,593–$8,593 |
| Boston MA | 7 | $8,032 | $9,872 | $11,106 | $6,481–$12,338 |
| California (statewide) | 1 | — | — | — | $13,616–$13,616 |
| Chicago IL | 5 | $7,188 | $8,158 | $8,992 | $6,835–$11,462 |
| Cleveland OH | 5 | $8,898 | $12,654 | $14,455 | $4,827–$16,370 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,497–$9,800 |
| Denver CO | 7 | $6,017 | $6,866 | $6,958 | $5,215–$7,035 |
| Detroit MI | 1 | — | — | — | $7,166–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $8,383–$8,383 |
| Houston TX | 1 | — | — | — | $7,803–$7,803 |
| Indianapolis IN | 1 | — | — | — | $4,660–$4,660 |
| Kansas (statewide) | 1 | — | — | — | $9,018–$9,018 |
| Las Vegas NV | 2 | — | — | — | $5,542–$11,429 |
| Los Angeles CA | 2 | — | — | — | $14,322–$17,277 |
| Nashville TN | 3 | — | — | — | $5,597–$7,470 |
| New York City | 2 | — | — | — | $8,314–$10,024 |
| Ohio (statewide) | 1 | — | — | — | $10,654–$10,654 |
| Pennsylvania (statewide) | 1 | — | — | — | $19,326–$19,326 |
| Philadelphia PA | 5 | $6,738 | $7,409 | $9,172 | $6,259–$11,208 |
| Phoenix AZ | 3 | — | — | — | $6,585–$7,053 |
| Portland OR | 6 | $15,689 | $15,689 | $22,444 | $15,689–$24,695 |
| Richmond VA | 2 | — | — | — | $9,687–$10,559 |
| San Antonio TX | 1 | — | — | — | $9,418–$9,418 |
| San Diego CA | 1 | — | — | — | $9,077–$9,077 |
| San Francisco Bay Area CA | 1 | — | — | — | $22,299–$22,299 |
| Seattle-Tacoma WA | 6 | $21,243 | $22,988 | $27,598 | $18,849–$30,470 |
| Tampa FL | 2 | — | — | — | $5,886–$10,706 |
| Washington DC | 4 | — | — | — | $7,890–$11,070 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Hendricks Regional Health | Indianapolis IN | $4,660 | 0.6× | 1 | 2026-05-20 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,827 | 0.7× | 3 | 2026-07-14 |
| Adventhealth Porter | Denver CO | $5,215 | 0.7× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,215 | 0.7× | 3 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $5,542 | 0.7× | 2 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,597 | 0.8× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,818 | 0.9× | 3 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $5,886 | 0.8× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,259 | 0.9× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,481 | 0.8× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,497 | 0.9× | 3 | 2026-06-29 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $6,585 | 0.9× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $6,585 | 0.9× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $6,738 | 0.9× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $6,819 | 0.9× | 4 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $6,835 | 0.9× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $6,866 | 0.9× | 3 | 2025-11-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,880 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $7,035 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,035 | 0.9× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $7,040 | 1.0× | 6 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $7,053 | 0.9× | 3 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $7,188 | 0.9× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 0.9× | 3 | 2026-09-15 |
| Vanderbilt University Medical Center | Nashville TN | $7,470 | 1.1× | 6 | 2025-10-01 |
| Houston Methodist Hospital | Houston TX | $7,803 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $7,812 | 0.9× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $7,890 | 0.9× | 3 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,158 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $8,253 | 1.0× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $8,314 | 0.9× | 9 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,383 | 1.4× | 3 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,593 | 1.2× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $8,898 | 1.3× | 2 | 2026-06-16 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,992 | 1.2× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $9,018 | 1.4× | 5 | 2026-09-01 |
| Scripps Green Hospital | San Diego CA | $9,077 | 1.0× | 1 | 2026-03-30 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.3× | 3 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.3× | 3 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $9,295 | 1.3× | 5 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $9,418 | 1.3× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,475 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,687 | 1.4× | 4 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $9,800 | 1.4× | 2 | 2026-04-21 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,872 | 1.2× | 1 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $10,024 | 1.1× | 7 | 2026-01-01 |
| Reston Hospital Center | Washington DC | $10,122 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $10,140 | 1.4× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $10,559 | 1.5× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $10,654 | 1.6× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $10,706 | 1.4× | 2 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $10,844 | 1.3× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $11,070 | 1.5× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,367 | 1.3× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $11,429 | 1.5× | 4 | 2026-07-01 |
| University of Chicago Medical Center | Chicago IL | $11,462 | 1.5× | 2 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,338 | 1.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $12,654 | 1.9× | 1 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,616 | 1.5× | 5 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,322 | 1.6× | 3 | 2025-11-26 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,455 | 2.2× | 1 | 2026-06-15 |
| Legacy Emanuel Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,370 | 2.5× | 1 | 2026-06-15 |
| Keck Hospital Of Usc | Los Angeles CA | $17,277 | 1.9× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $18,849 | 2.3× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $19,326 | 2.7× | 8 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $21,150 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $21,523 | 2.6× | 6 | 2026-02-28 |
| Stanford Health Care | San Francisco Bay Area CA | $22,299 | 2.1× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $24,454 | 3.0× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $24,695 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,695 | 3.1× | 3 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $28,646 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,470 | 3.7× | 4 | 2026-08-27 |
CPT 31297: Nsl/Sins Ndsc Surg Sphn Sins
78 hospitals in 30 markets. National Medicare rate $7,210, surgery center $3,113.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $5,812–$5,812 |
| Austin TX | 1 | — | — | — | $6,035–$6,035 |
| Boston MA | 7 | $7,876 | $9,872 | $11,106 | $6,647–$12,338 |
| California (statewide) | 1 | — | — | — | $13,497–$13,497 |
| Chicago IL | 5 | $8,593 | $9,635 | $9,848 | $5,908–$12,184 |
| Cleveland OH | 5 | $8,898 | $12,654 | $14,455 | $4,208–$16,370 |
| Dallas-Fort Worth TX | 4 | — | — | — | $5,087–$9,475 |
| Denver CO | 7 | $6,326 | $6,550 | $9,402 | $6,084–$11,938 |
| Detroit MI | 1 | — | — | — | $7,166–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $8,383–$8,383 |
| Houston TX | 1 | — | — | — | $6,570–$6,570 |
| Indianapolis IN | 1 | — | — | — | $4,616–$4,616 |
| Kansas (statewide) | 1 | — | — | — | $7,516–$7,516 |
| Las Vegas NV | 2 | — | — | — | $5,542–$11,429 |
| Los Angeles CA | 2 | — | — | — | $13,075–$14,322 |
| Nashville TN | 3 | — | — | — | $5,597–$6,994 |
| New York City | 1 | — | — | — | $8,314–$8,314 |
| Ohio (statewide) | 1 | — | — | — | $10,654–$10,654 |
| Pennsylvania (statewide) | 1 | — | — | — | $19,326–$19,326 |
| Philadelphia PA | 5 | $6,738 | $7,409 | $9,172 | $6,259–$11,208 |
| Phoenix AZ | 3 | — | — | — | $5,946–$7,053 |
| Portland OR | 6 | $15,689 | $15,689 | $21,895 | $15,689–$23,964 |
| Richmond VA | 2 | — | — | — | $8,748–$9,620 |
| San Antonio TX | 1 | — | — | — | $7,942–$7,942 |
| San Diego CA | 1 | — | — | — | $9,077–$9,077 |
| San Francisco Bay Area CA | 1 | — | — | — | $20,033–$20,033 |
| Seattle-Tacoma WA | 6 | $21,243 | $22,988 | $27,598 | $18,849–$30,470 |
| Tampa FL | 2 | — | — | — | $5,238–$7,956 |
| Washington DC | 4 | — | — | — | $7,890–$11,070 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,208 | 0.6× | 3 | 2026-07-14 |
| Hendricks Regional Health | Indianapolis IN | $4,616 | 0.6× | 1 | 2026-05-20 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $5,087 | 0.7× | 3 | 2026-06-29 |
| Tampa General Hospital | Tampa FL | $5,238 | 0.7× | 2 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $5,542 | 0.7× | 2 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,597 | 0.8× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,748 | 0.8× | 3 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $5,812 | 0.8× | 6 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,908 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $5,946 | 0.8× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $5,946 | 0.8× | 4 | 2026-04-01 |
| St David's Medical Center | Austin TX | $6,035 | 0.8× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,084 | 0.8× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,259 | 0.9× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $6,272 | 0.8× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $6,380 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $6,550 | 0.9× | 4 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $6,570 | 0.9× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $6,647 | 0.8× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $6,738 | 0.9× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $6,866 | 0.9× | 3 | 2025-11-01 |
| Vanderbilt University Medical Center | Nashville TN | $6,994 | 1.0× | 6 | 2025-10-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $7,053 | 0.9× | 3 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 0.9× | 3 | 2026-09-15 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $7,492 | 1.1× | 2 | 2026-04-21 |
| Beverly Hospital Corporation | Boston MA | $7,500 | 0.9× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $7,516 | 1.1× | 5 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $7,890 | 0.9× | 3 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $7,942 | 1.1× | 4 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $7,956 | 1.1× | 2 | 2026-01-01 |
| Winchester Hospital | Boston MA | $8,253 | 1.0× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $8,314 | 0.9× | 9 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $8,375 | 1.2× | 5 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,383 | 1.4× | 3 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,593 | 1.1× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $8,748 | 1.3× | 4 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $8,898 | 1.3× | 2 | 2026-06-16 |
| Scripps Green Hospital | San Diego CA | $9,077 | 1.0× | 1 | 2026-03-30 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.3× | 3 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.3× | 3 | 2026-09-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,475 | 1.3× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $9,620 | 1.4× | 4 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $9,635 | 1.3× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $9,848 | 1.3× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,872 | 1.2× | 1 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $10,122 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $10,140 | 1.4× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $10,654 | 1.6× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $10,844 | 1.3× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $11,070 | 1.5× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,367 | 1.3× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $11,429 | 1.5× | 4 | 2026-07-01 |
| Adventhealth Porter | Denver CO | $11,938 | 1.6× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $11,938 | 1.6× | 2 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $12,184 | 1.6× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,338 | 1.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $12,654 | 1.9× | 1 | 2026-06-15 |
| Keck Hospital Of Usc | Los Angeles CA | $13,075 | 1.4× | 5 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,497 | 1.5× | 5 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,322 | 1.6× | 3 | 2025-11-26 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,455 | 2.2× | 1 | 2026-06-15 |
| Legacy Emanuel Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,370 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $18,849 | 2.3× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $19,326 | 2.7× | 6 | 2026-07-01 |
| Stanford Health Care | San Francisco Bay Area CA | $20,033 | 1.9× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $21,150 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $21,523 | 2.6× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $23,964 | 3.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $23,964 | 3.0× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $24,454 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $28,646 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,470 | 3.7× | 4 | 2026-08-27 |
Questions
How much do commercial insurers pay hospitals for balloon sinuplasty?
Across 79 hospitals in 29 metro areas that post a usable dollar rate, the median commercial rate for CPT 31295, hospital outpatient is $9,295, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,035 to $13,135. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for balloon sinuplasty?
Medicare's national hospital outpatient rate for CPT 31295 is $7,210 and its surgery-center rate is $3,105, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for balloon sinuplasty?
Lowest medians: University Hospitals - Elyria Medical Center ($4,827), Adventhealth Porter ($5,215), Adventhealth Parker ($5,215). Highest: Multicare Good Samaritan Hospital ($30,470), Tacoma General Allenmore Hospital ($28,646), Providence Portland Medical Center ($24,695). Coverage is limited to the markets listed on this page.