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Balloon sinuplasty in New Jersey: what insurers pay

Posted commercial rates at 16 New Jersey 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
Jefferson Stratford Hospital Stratford$7,4090.9×32026-09-15
Chilton Medical Center Pompton Plains$8,0321.0×132026-04-01
Newton Medical Center Newton$8,0321.0×132026-04-01
Overlook Medical Center Summit$8,0321.0×132026-04-01
Centrastate Medical Center Freehold$8,0321.0×152026-01-01
Hackettstown Medical Center Hackettstown$8,0321.0×122026-04-01
Palisades Medical Center North Bergen$8,1521.0×12025-12-31
Morristown Medical Center Morristown$8,2541.0×22026-04-01
St Luke'S Warren Hospital Phillipsburg$9,8501.2×32026-02-27
Inspira Medical Center Vineland Vineland$11,2081.4×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2081.4×12026-03-24
Shore Medical Center Somers Point$12,1441.5×42026-08-30
Valley Hospital Paramus$12,6701.5×42026-05-06
Englewood Hospital Englewood$13,4511.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$14,4211.7×32026-04-24

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S General Hospital Passaic$5,0490.6×72026-09-01
Jefferson Stratford Hospital Stratford$7,4090.9×32026-09-15
Chilton Medical Center Pompton Plains$8,0321.0×132026-04-01
Newton Medical Center Newton$8,0321.0×132026-04-01
Overlook Medical Center Summit$8,0321.0×132026-04-01
Centrastate Medical Center Freehold$8,0321.0×152026-01-01
Hackettstown Medical Center Hackettstown$8,0321.0×122026-04-01
Palisades Medical Center North Bergen$8,1521.0×12025-12-31
Morristown Medical Center Morristown$8,2541.0×22026-04-01
Inspira Medical Center Vineland Vineland$11,2081.4×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2081.4×12026-03-24
Shore Medical Center Somers Point$12,1441.5×42026-08-30
Valley Hospital Paramus$12,6701.5×42026-05-06
Englewood Hospital Englewood$13,4511.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$14,4211.7×32026-04-24

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Stratford Hospital Stratford$7,4090.9×32026-09-15
Palisades Medical Center North Bergen$8,1521.0×12025-12-31
Valley Hospital Paramus$10,4301.2×42026-05-06
Inspira Medical Center Vineland Vineland$11,2081.4×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2081.4×12026-03-24
Shore Medical Center Somers Point$12,1441.5×42026-08-30
Englewood Hospital Englewood$13,4511.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$14,4211.7×32026-04-24

Questions

How much do insurers pay for balloon sinuplasty in New Jersey?

16 New Jersey hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 15 hospitals is $8,254, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.