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Balloon sinuplasty in California: what insurers pay

Posted commercial rates at 5 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 31295

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$13,6161.5×52026-09-01
Cedars-Sinai Medical Center Los Angeles$14,3221.6×32025-11-26
Keck Hospital Of Usc Los Angeles$17,2771.9×52026-04-01
Stanford Health Care Stanford$22,2992.1×42026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$9,0771.0×12026-03-30
Los Robles Hospital & Medical Center Thousand Oaks$13,6161.5×52026-09-01
Cedars-Sinai Medical Center Los Angeles$14,3221.6×32025-11-26
Keck Hospital Of Usc Los Angeles$17,2771.9×52026-04-01
Stanford Health Care Stanford$22,2992.1×42026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$9,0771.0×12026-03-30
Keck Hospital Of Usc Los Angeles$13,0751.4×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$13,4971.5×52026-09-01
Cedars-Sinai Medical Center Los Angeles$14,3221.6×32025-11-26
Stanford Health Care Stanford$20,0331.9×42026-04-01

Questions

How much do insurers pay for balloon sinuplasty in California?

5 California hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 4 hospitals is $15,800, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.