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Balloon sinuplasty in Illinois: what insurers pay

Posted commercial rates at 5 Illinois 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
Endeavor Health Northwest Community Hospital Arlington Heights$6,8350.9×22026-04-01
Endeavor Health Evanston Hospital Evanston$7,1880.9×22026-04-01
Endeavor Health Edward Hospital Naperville$8,1581.1×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$8,9921.2×22026-04-01
University of Chicago Medical Center Chicago$11,4621.5×22026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$6,8350.9×22026-04-01
Endeavor Health Evanston Hospital Evanston$7,1880.9×22026-04-01
Endeavor Health Edward Hospital Naperville$8,1581.1×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$8,9921.2×22026-04-01
University of Chicago Medical Center Chicago$11,4621.5×22026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston Hospital Evanston$5,9080.8×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$8,5931.1×22026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$9,6351.3×12026-04-01
University of Chicago Medical Center Chicago$9,8481.3×22026-04-01
Endeavor Health Edward Hospital Naperville$12,1841.6×12026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Illinois?

5 Illinois hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 5 hospitals is $8,158, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.