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Balloon sinuplasty in New York: what insurers pay

Posted commercial rates at 32 New York 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
Glens Falls Hospital Glens Falls$5,4240.6×42025-12-31
Maimonides Medical Center Brooklyn$6,3070.7×72026-04-01
Garnet Health Medical Center Catskills Harris$7,2030.8×42026-04-01
Nassau University Medical Center East Meadow$8,1920.9×12025-10-28
Saratoga Hospital Saratoga Springs$8,1920.9×12025-12-31
Montefiore Medical Center Bronx$9,1401.0×152026-04-01
Wynn Hospital Utica$9,6031.1×152026-08-07
Montefiore Mount Vernon Hospital Mount Vernon$9,6911.1×92026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,8821.1×92026-01-01
Erie County Medical Center Buffalo$10,1281.1×62026-08-25
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$10,7041.2×32026-09-05
Jacobi Medical Center Bronx$10,7041.2×32026-09-05
Elmhurst Hospital Center Elmhurst$10,7041.2×32026-09-05
South Brooklyn Health Brooklyn$10,7041.2×32026-09-05
Metropolitan Hospital Center New York$10,7041.2×32026-09-05
Kings County Hospital Center Brooklyn$10,7041.2×32026-09-05
Bellevue Hospital Center New York$10,7041.2×32026-09-05
Queens Hospital Center Jamaica$10,7041.2×32026-09-05
Harlem Hospital Center New York$10,7041.2×32026-09-05
Samaritan Medical Center Watertown$11,2091.3×42026-02-02
Albany Medical Center Hospital Albany$11,7191.3×22025-12-31
Columbia Memorial Hospital Hudson$12,2881.4×12025-12-31
Highland Hospital Rochester$12,6501.4×42026-07-01
St Joseph'S Medical Center Yonkers$14,1971.6×12026-07-13
Medina Memorial Hospital Medina$14,2641.6×22026-07-29
Strong Memorial Hospital Rochester$15,1161.7×42026-07-01
Jones Memorial Hospital Wellsville$15,1401.7×72026-01-01
Garnet Health Medical Center Middletown$15,4171.8×52026-04-01
Geneva General Hospital Geneva$15,5431.8×32026-08-27
Nicholas H Noyes Memorial Hospital Dansville$18,0512.0×62026-01-01
Roswell Park Cancer Institute Buffalo$18,4522.1×22026-04-01
St James Hospital Hornell$20,6922.4×52026-01-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Glens Falls Hospital Glens Falls$5,4590.6×42025-12-31
Maimonides Medical Center Brooklyn$6,3070.7×72026-04-01
Garnet Health Medical Center Catskills Harris$7,2030.8×42026-04-01
Nassau University Medical Center East Meadow$8,1920.9×12025-10-28
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$8,1920.9×42026-09-05
Jacobi Medical Center Bronx$8,1920.9×42026-09-05
Elmhurst Hospital Center Elmhurst$8,1920.9×42026-09-05
South Brooklyn Health Brooklyn$8,1920.9×42026-09-05
Metropolitan Hospital Center New York$8,1920.9×42026-09-05
Kings County Hospital Center Brooklyn$8,1920.9×42026-09-05
Bellevue Hospital Center New York$8,1920.9×42026-09-05
Saratoga Hospital Saratoga Springs$8,1920.9×12025-12-31
Queens Hospital Center Jamaica$8,1920.9×42026-09-05
Harlem Hospital Center New York$8,1920.9×42026-09-05
Montefiore Medical Center Bronx$8,9751.0×162026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$9,6911.1×92026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,8821.1×92026-01-01
Samaritan Medical Center Watertown$11,2091.3×42026-02-02
Erie County Medical Center Buffalo$11,4421.3×52026-08-25
Albany Medical Center Hospital Albany$11,7191.3×22025-12-31
Columbia Memorial Hospital Hudson$12,2881.4×12025-12-31
Highland Hospital Rochester$12,6501.4×42026-07-01
St Joseph'S Medical Center Yonkers$14,1971.6×12026-07-13
Medina Memorial Hospital Medina$14,2641.6×22026-07-29
Strong Memorial Hospital Rochester$15,1161.7×42026-07-01
Jones Memorial Hospital Wellsville$15,1401.7×72026-01-01
Garnet Health Medical Center Middletown$15,4171.8×52026-04-01
Geneva General Hospital Geneva$15,5431.8×32026-08-27
Nicholas H Noyes Memorial Hospital Dansville$18,0512.0×62026-01-01
Roswell Park Cancer Institute Buffalo$18,4522.1×22026-04-01
St James Hospital Hornell$20,6922.4×52026-01-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Glens Falls Hospital Glens Falls$5,4760.6×42025-12-31
Maimonides Medical Center Brooklyn$5,9080.7×72026-04-01
Albany Medical Center Hospital Albany$6,4620.7×42025-12-31
Garnet Health Medical Center Catskills Harris$7,2030.8×42026-04-01
Nassau University Medical Center East Meadow$8,1920.9×12025-10-28
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$8,1920.9×42026-09-05
Jacobi Medical Center Bronx$8,1920.9×42026-09-05
Elmhurst Hospital Center Elmhurst$8,1920.9×42026-09-05
South Brooklyn Health Brooklyn$8,1920.9×42026-09-05
Metropolitan Hospital Center New York$8,1920.9×42026-09-05
Kings County Hospital Center Brooklyn$8,1920.9×42026-09-05
Bellevue Hospital Center New York$8,1920.9×42026-09-05
Saratoga Hospital Saratoga Springs$8,1920.9×12025-12-31
Queens Hospital Center Jamaica$8,1920.9×42026-09-05
Harlem Hospital Center New York$8,1920.9×42026-09-05
Montefiore Medical Center Bronx$8,9751.0×162026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$9,6911.1×92026-04-01
Samaritan Medical Center Watertown$11,2091.3×42026-02-02
Erie County Medical Center Buffalo$11,4421.3×52026-08-25
Columbia Memorial Hospital Hudson$12,2881.4×12025-12-31
Highland Hospital Rochester$12,6501.4×42026-07-01
St Joseph'S Medical Center Yonkers$14,1971.6×12026-07-13
Medina Memorial Hospital Medina$14,2641.6×22026-07-29
Strong Memorial Hospital Rochester$15,1161.7×42026-07-01
Jones Memorial Hospital Wellsville$15,1401.7×72026-01-01
Garnet Health Medical Center Middletown$15,4171.8×52026-04-01
Geneva General Hospital Geneva$15,5431.8×32026-08-27
Nicholas H Noyes Memorial Hospital Dansville$18,0512.0×62026-01-01
Roswell Park Cancer Institute Buffalo$18,4522.1×22026-04-01
St James Hospital Hornell$20,6922.4×52026-01-01

Questions

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

32 New York 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 $10,704, 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.