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Balloon sinuplasty in Colorado: what insurers pay

Posted commercial rates at 7 Colorado 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
Adventhealth Porter Denver$5,2150.7×32026-04-01
Adventhealth Parker Parker$5,2150.7×32026-04-01
HCA HealthONE Swedish Englewood$6,8190.9×42026-09-01
UCHealth University of Colorado Hospital Aurora$6,8660.9×32025-11-01
HCA HealthONE Sky Ridge Lone Tree$6,8800.9×42026-09-01
Hca Healthone Rose Denver$7,0350.9×42026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$7,0350.9×42026-09-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Porter Denver$5,2150.7×32026-04-01
Adventhealth Parker Parker$5,2150.7×32026-04-01
HCA HealthONE Swedish Englewood$6,8190.9×42026-09-01
UCHealth University of Colorado Hospital Aurora$6,8660.9×32025-11-01
HCA HealthONE Sky Ridge Lone Tree$6,8800.9×42026-09-01
Hca Healthone Rose Denver$7,0350.9×42026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$7,0350.9×42026-09-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
HCA HealthONE Sky Ridge Lone Tree$6,0840.8×42026-09-01
Hca Healthone Rose Denver$6,2720.8×42026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$6,3800.9×42026-09-01
HCA HealthONE Swedish Englewood$6,5500.9×42026-09-01
UCHealth University of Colorado Hospital Aurora$6,8660.9×32025-11-01
Adventhealth Porter Denver$11,9381.6×22026-04-01
Adventhealth Parker Parker$11,9381.6×22026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Colorado?

7 Colorado hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 7 hospitals is $6,866, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.