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Balloon sinuplasty in Illinois: what insurers pay

Posted commercial rates at 31 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
Uchicago Medicine Adventhealth La Grange La Grange$4,2220.6×42026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$4,2220.6×42026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$4,2220.6×42026-04-01
Uchicago Medicine Adventhealth Hinsdale Hinsdale$4,2700.6×52026-04-01
Loyola Gottlieb Memorial Hospital Melrose Park$4,2780.6×12026-03-31
West Suburban Medical Center Oak Park$6,7810.9×42025-03-17
Endeavor Health Northwest Community Hospital Arlington Heights$6,8350.9×22026-04-01
Advocate Sherman Hospital Elgin$7,1540.9×12025-11-04
Endeavor Health Evanston Hospital Evanston$7,1880.9×22026-04-01
Advocate Condell Medical Center Libertyville$7,7131.0×12025-11-04
Mt Sinai Hospital Medical Center Chicago$7,8491.0×52026-09-22
Holy Cross Hospital Chicago$7,8491.0×72026-09-22
Northwestern Lake Forest Hospital Lake Forest$7,9231.1×12026-04-01
Endeavor Health Edward Hospital Naperville$8,1581.1×22026-04-01
Ingalls Memorial Hospital Harvey$8,3191.1×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$8,9921.2×22026-04-01
Swedish Hospital Chicago$10,0441.3×32026-04-01
Advocate Trinity Hospital Chicago$10,2191.4×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$10,2191.4×12025-11-04
Advocate Christ Medical Center Oak Lawn$10,2191.4×12025-11-04
Advocate Lutheran General Hospital Park Ridge$10,2191.4×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$10,2191.4×12025-11-04
Advocate Good Shepherd Hospital Barrington$10,2191.4×12025-11-04
University of Chicago Medical Center Chicago$11,4621.5×22026-04-01
Deaconess Illinois Medical Center Marion$11,9071.6×52026-02-03
Carle Health Proctor Hospital Peoria$16,4582.2×12026-04-15
Carle Health Pekin Hospital Pekin$16,4582.2×12026-04-15
Carle Health Methodist Hospital Peoria$16,4582.2×12026-04-15
Trinity Rock Island Rock Island$17,4672.3×32026-01-28
Deaconess Illinois Crossroads Mount Vernon$20,5662.7×32026-02-03

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Uchicago Medicine Adventhealth La Grange La Grange$4,2220.6×42026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$4,2220.6×42026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$4,2220.6×42026-04-01
Uchicago Medicine Adventhealth Hinsdale Hinsdale$4,2700.6×52026-04-01
Loyola Gottlieb Memorial Hospital Melrose Park$4,2780.6×12026-03-31
West Suburban Medical Center Oak Park$6,7810.9×42025-03-17
Endeavor Health Northwest Community Hospital Arlington Heights$6,8350.9×22026-04-01
Advocate Sherman Hospital Elgin$7,1540.9×12025-11-04
Endeavor Health Evanston Hospital Evanston$7,1880.9×22026-04-01
Advocate Condell Medical Center Libertyville$7,7131.0×12025-11-04
Northwestern Lake Forest Hospital Lake Forest$7,9231.1×12026-04-01
Endeavor Health Edward Hospital Naperville$8,1581.1×22026-04-01
Ingalls Memorial Hospital Harvey$8,3191.1×32026-04-01
Mercy Medical Center Aurora$8,4821.1×62026-09-01
Endeavor Health Elmhurst Hospital Elmhurst$8,9921.2×22026-04-01
Swedish Hospital Chicago$10,0441.3×32026-04-01
Advocate Trinity Hospital Chicago$10,2191.4×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$10,2191.4×12025-11-04
Advocate Christ Medical Center Oak Lawn$10,2191.4×12025-11-04
Advocate Lutheran General Hospital Park Ridge$10,2191.4×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$10,2191.4×12025-11-04
Advocate Good Shepherd Hospital Barrington$10,2191.4×12025-11-04
University of Chicago Medical Center Chicago$11,4621.5×22026-04-01
Deaconess Illinois Medical Center Marion$11,9071.6×52026-02-03
Mt Sinai Hospital Medical Center Chicago$15,6162.1×52026-09-22
Holy Cross Hospital Chicago$15,6162.1×72026-09-22
Carle Health Proctor Hospital Peoria$16,4582.2×12026-04-15
Carle Health Pekin Hospital Pekin$16,4582.2×12026-04-15
Carle Health Methodist Hospital Peoria$16,4582.2×12026-04-15
Trinity Rock Island Rock Island$17,4672.3×32026-01-28
Deaconess Illinois Crossroads Mount Vernon$20,5662.7×32026-02-03

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Uchicago Medicine Adventhealth La Grange La Grange$4,2700.6×32026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$4,2700.6×32026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$4,2700.6×32026-04-01
Loyola Gottlieb Memorial Hospital Melrose Park$4,2780.6×12026-03-31
Northwestern Lake Forest Hospital Lake Forest$5,3660.7×12026-04-01
Advocate Sherman Hospital Elgin$5,6780.8×12025-11-04
Endeavor Health Evanston Hospital Evanston$5,9080.8×22026-04-01
Uchicago Medicine Adventhealth Hinsdale Hinsdale$6,4840.9×42026-04-01
Advocate Condell Medical Center Libertyville$6,5140.9×12025-11-04
West Suburban Medical Center Oak Park$6,7810.9×42025-03-17
Advocate Trinity Hospital Chicago$7,2951.0×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$7,2951.0×12025-11-04
Advocate Christ Medical Center Oak Lawn$7,2951.0×12025-11-04
Advocate Lutheran General Hospital Park Ridge$7,2951.0×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$7,2951.0×12025-11-04
Advocate Good Shepherd Hospital Barrington$7,2951.0×12025-11-04
Ingalls Memorial Hospital Harvey$8,3191.1×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$8,5931.1×22026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$9,6351.3×12026-04-01
Mt Sinai Hospital Medical Center Chicago$9,6601.3×52026-09-22
Holy Cross Hospital Chicago$9,6601.3×72026-09-22
University of Chicago Medical Center Chicago$9,8481.3×22026-04-01
Swedish Hospital Chicago$10,6941.4×22026-04-01
Deaconess Illinois Medical Center Marion$11,9071.6×52026-02-03
Endeavor Health Edward Hospital Naperville$12,1841.6×12026-04-01
Carle Health Proctor Hospital Peoria$16,4582.2×12026-04-15
Carle Health Pekin Hospital Pekin$16,4582.2×12026-04-15
Carle Health Methodist Hospital Peoria$16,4582.2×12026-04-15
Trinity Rock Island Rock Island$17,4672.3×32026-01-28
Deaconess Illinois Crossroads Mount Vernon$20,5662.7×32026-02-03

Questions

How much do insurers pay for balloon sinuplasty in Illinois?

31 Illinois hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 30 hospitals is $8,656, 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.