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Balloon sinuplasty in Georgia: what insurers pay

Posted commercial rates at 32 Georgia 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 Gordon Calhoun$3,1210.5×22026-04-01
Atrium Health Navicent Peach Byron$3,7770.6×22025-11-19
Atrium Health Navicent The Medical Center Macon$4,6700.7×42025-11-19
St Francis Hospital- Emory Healthcare Columbus$5,8820.9×32026-04-01
Navicent Health Baldwin Milledgeville$6,0441.0×22025-11-19
Doctors Hospital Augusta$6,1171.0×62026-09-01
Emory University Hospital Atlanta$7,0401.0×62026-04-01
Emory Decatur Hospital Decatur$7,0401.0×62026-04-01
Emory Saint Joseph's Hospital Atlanta$7,0401.0×62026-04-01
Emory University Hospital Midtown Atlanta$7,0401.0×62026-04-01
Emory Johns Creek Hospital Johns Creek$7,0401.0×62026-04-01
Emory Hillandale Hospital Lithonia$7,0401.0×42026-04-01
Atrium Health Floyd Medical Center Rome$7,0701.0×22025-11-19
Memorial Satilla Health Waycross$7,5301.2×62026-09-01
Fairview Park Hospital Dublin$7,5491.2×72026-09-01
Memorial Health Meadows Hospital Vidalia$7,5491.2×52026-09-01
Tanner Medical Center - Carrollton Carrollton$7,7491.1×12026-03-24
Emory Houston Hospital Warner Robins Warner Robins$8,3831.4×32026-04-01
Wellstar West Georgia Medical Center Lagrange$8,7401.4×42026-04-01
Wellstar Spalding Medical Center Griffin$8,7401.2×42026-04-01
Wellstar Kennestone Hospital Marietta$8,7401.2×42026-04-01
Wellstar Paulding Medical Center Hiram$8,7401.2×42026-04-01
Wellstar Cobb Medical Center Austell$8,7401.2×42026-04-01
Wellstar Douglas Medical Center Douglasville$8,7401.2×42026-04-01
Wellstar North Fulton Hospital Roswell$8,7401.2×42026-04-01
Wellstar Sylvan Grove Medical Center Jackson$8,7401.2×42026-04-01
Adventhealth Redmond Rome$11,2781.5×42026-04-01
Jefferson Hospital Louisville$12,2442.0×62026-04-14
Northeast Georgia Medical Center, Inc Gainesville$26,0043.8×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$26,0044.2×22026-04-01
Northeast Georgia Medical Center Barrow Winder$26,0043.7×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$26,0043.7×22026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Gordon Calhoun$3,1210.5×22026-04-01
Atrium Health Navicent Peach Byron$3,7770.6×22025-11-19
Atrium Health Navicent The Medical Center Macon$4,6700.7×42025-11-19
St Francis Hospital- Emory Healthcare Columbus$5,8820.9×32026-04-01
Navicent Health Baldwin Milledgeville$6,0441.0×22025-11-19
Doctors Hospital Augusta$6,1171.0×62026-09-01
Emory University Hospital Atlanta$7,0401.0×62026-04-01
Emory Decatur Hospital Decatur$7,0401.0×62026-04-01
Emory Saint Joseph's Hospital Atlanta$7,0401.0×62026-04-01
Emory University Hospital Midtown Atlanta$7,0401.0×62026-04-01
Emory Johns Creek Hospital Johns Creek$7,0401.0×62026-04-01
Emory Hillandale Hospital Lithonia$7,0401.0×42026-04-01
Atrium Health Floyd Medical Center Rome$7,0701.0×22025-11-19
Memorial Satilla Health Waycross$7,5301.2×62026-09-01
Fairview Park Hospital Dublin$7,5491.2×72026-09-01
Memorial Health Meadows Hospital Vidalia$7,5491.2×52026-09-01
Emory Houston Hospital Warner Robins Warner Robins$8,3831.4×32026-04-01
Wellstar West Georgia Medical Center Lagrange$8,7401.4×42026-04-01
Wellstar Spalding Medical Center Griffin$8,7401.2×42026-04-01
Wellstar Kennestone Hospital Marietta$8,7401.2×42026-04-01
Wellstar Paulding Medical Center Hiram$8,7401.2×42026-04-01
Wellstar Cobb Medical Center Austell$8,7401.2×42026-04-01
Wellstar Douglas Medical Center Douglasville$8,7401.2×42026-04-01
Wellstar North Fulton Hospital Roswell$8,7401.2×42026-04-01
Wellstar Sylvan Grove Medical Center Jackson$8,7401.2×42026-04-01
Adventhealth Redmond Rome$11,2781.5×42026-04-01
Jefferson Hospital Louisville$12,2442.0×62026-04-14
Northeast Georgia Medical Center, Inc Gainesville$26,0043.8×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$26,0044.2×22026-04-01
Northeast Georgia Medical Center Barrow Winder$26,0043.7×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$26,0043.7×22026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Gordon Calhoun$3,1340.5×12026-04-01
Atrium Health Navicent Peach Byron$4,2570.7×12025-11-19
Atrium Health Navicent The Medical Center Macon$4,8870.8×32025-11-19
St Francis Hospital- Emory Healthcare Columbus$4,9460.8×32026-04-01
Navicent Health Baldwin Milledgeville$5,2980.9×22025-11-19
Doctors Hospital Augusta$5,3990.9×62026-09-01
Memorial Health Meadows Hospital Vidalia$5,4000.9×52026-09-01
Emory Hillandale Hospital Lithonia$5,6580.8×42026-04-01
Emory University Hospital Atlanta$5,8120.8×62026-04-01
Emory Decatur Hospital Decatur$5,8120.8×62026-04-01
Emory Saint Joseph's Hospital Atlanta$5,8120.8×62026-04-01
Emory University Hospital Midtown Atlanta$5,8120.8×62026-04-01
Emory Johns Creek Hospital Johns Creek$5,8120.8×62026-04-01
Memorial Satilla Health Waycross$5,9841.0×62026-09-01
Fairview Park Hospital Dublin$6,4591.0×72026-09-01
Atrium Health Floyd Medical Center Rome$7,0701.0×22025-11-19
Wellstar West Georgia Medical Center Lagrange$7,6061.2×42026-04-01
Wellstar Spalding Medical Center Griffin$7,6061.1×42026-04-01
Wellstar Kennestone Hospital Marietta$7,6061.1×42026-04-01
Wellstar Paulding Medical Center Hiram$7,6061.1×42026-04-01
Wellstar Cobb Medical Center Austell$7,6061.1×42026-04-01
Wellstar Douglas Medical Center Douglasville$7,6061.1×42026-04-01
Wellstar North Fulton Hospital Roswell$7,6061.1×42026-04-01
Wellstar Sylvan Grove Medical Center Jackson$7,6061.1×42026-04-01
Emory Houston Hospital Warner Robins Warner Robins$8,3831.4×32026-04-01
Adventhealth Redmond Rome$10,3431.4×42026-04-01
Jefferson Hospital Louisville$12,2442.0×62026-04-14
Northeast Georgia Medical Center, Inc Gainesville$26,0043.8×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$26,0044.2×22026-04-01
Northeast Georgia Medical Center Barrow Winder$26,0043.7×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$26,0043.7×22026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Georgia?

32 Georgia hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 32 hospitals is $7,649, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.