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Balloon sinuplasty in Ohio: what insurers pay

Posted commercial rates at 45 Ohio 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
Parma Community General Hospital Parma$4,4760.7×42026-07-14
Nationwide Children'S Hospital Columbus$4,6950.7×12026-04-01
University Hospitals Portage Medical Center Ravenna$5,1710.8×42026-07-14
University Hospitals - Elyria Medical Center Elyria$5,6140.8×42026-07-14
University Hospitals St. John Medical Center Westlake$6,2460.9×42026-07-14
University Hospitals Conneaut Medical Center Conneaut$6,5521.0×32026-07-14
Fisher-Titus Hospital Norwalk$6,6881.0×32026-04-29
University Hospitals Ahuja Medical Center Beachwood$6,7481.0×52026-07-14
Union Hospital Dover$7,0111.1×22026-06-15
Euclid Hospital Euclid$7,3451.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$7,3451.1×32026-06-15
Marymount Hospital Garfield Heights$7,3451.1×32026-06-15
South Pointe Hospital Warrensville Heights$7,3451.1×32026-06-15
Cleveland Clinic (main campus) Cleveland$7,3451.1×52026-06-16
Akron General Medical Center Akron$7,8211.2×52026-06-15
West Chester Hospital, Llc West Chester$8,9761.3×42026-07-01
Adena Pike Medical Center Waverly$9,2601.4×22026-08-19
University Of Cincinnati Medical Center, Llc Cincinnati$9,4461.4×52026-07-01
Medina Hospital Medina$9,5251.4×42026-06-15
Mercy Medical Center Canton$10,3581.6×12026-06-15
Bethesda North Cincinnati$10,6541.6×42026-04-01
Aultman Hospital Canton$11,5571.7×42026-04-01
Adena Regional Medical Center Chillicothe$11,6051.7×42026-08-19
Cleveland Clinic Fairview Hospital Cleveland$11,8581.8×42026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$11,8581.8×42026-06-15
MetroHealth System Cleveland$12,8981.9×62026-04-01
Miami Valley Hospital Dayton$13,0821.9×22026-04-01
Atrium Medical Center Franklin$13,1061.9×22026-04-01
Upper Valley Medical Center Troy$13,2691.9×22026-04-01
Adena Fayette Medical Center Washington Ch$14,4212.2×12026-08-19
Kettering Health Greene Memorial Xenia$14,7002.1×62026-04-01
Kettering Health Troy Troy$14,7002.1×62026-04-01
Kettering Health Main Campus Kettering$14,7502.1×62026-04-01
Kettering Health Dayton Dayton$14,7502.1×62026-04-01
Soin Medical Center Beaver Creek$14,7502.1×62026-04-01
Kettering Health Miamisburg Miamisburg$14,8082.1×62026-04-01
Summa Health System Akron$15,6242.3×72026-04-01
Mccullough-Hyde Memorial Hospital Oxford$16,4952.4×72026-04-01
Good Samaritan Hospital Cincinnati$16,4952.4×72026-04-01
Marietta Memorial Hospital Marietta$16,6922.5×12026-10-01
Lima Memorial Health System Lima$19,5352.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$21,6313.2×12026-04-01
Alliance Community Hospital Alliance$24,1043.6×12026-04-01
Aultman Orrville Hospital Orrville$24,1043.6×12026-04-01
Salem Regional Medical Center Salem$27,1264.1×22026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Parma Community General Hospital Parma$4,4760.7×42026-07-14
Nationwide Children'S Hospital Columbus$4,7710.7×12026-04-01
University Hospitals Portage Medical Center Ravenna$5,1710.8×42026-07-14
University Hospitals - Elyria Medical Center Elyria$5,6140.8×42026-07-14
University Hospitals St. John Medical Center Westlake$6,2460.9×42026-07-14
University Hospitals Conneaut Medical Center Conneaut$6,5521.0×32026-07-14
Fisher-Titus Hospital Norwalk$6,6881.0×32026-04-29
University Hospitals Ahuja Medical Center Beachwood$6,7481.0×52026-07-14
Union Hospital Dover$7,0111.1×22026-06-15
Euclid Hospital Euclid$7,3451.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$7,3451.1×32026-06-15
Marymount Hospital Garfield Heights$7,3451.1×32026-06-15
South Pointe Hospital Warrensville Heights$7,3451.1×32026-06-15
Cleveland Clinic (main campus) Cleveland$7,3451.1×52026-06-16
West Chester Hospital, Llc West Chester$8,9761.3×42026-07-01
Adena Pike Medical Center Waverly$9,2601.4×22026-08-19
University Of Cincinnati Medical Center, Llc Cincinnati$9,4461.4×52026-07-01
Medina Hospital Medina$9,5251.4×42026-06-15
Mercy Medical Center Canton$10,3581.6×12026-06-15
Bethesda North Cincinnati$10,6541.6×42026-04-01
Aultman Hospital Canton$11,5571.7×42026-04-01
Adena Regional Medical Center Chillicothe$11,6051.7×42026-08-19
Cleveland Clinic Fairview Hospital Cleveland$11,8581.8×42026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$11,8581.8×42026-06-15
Akron General Medical Center Akron$12,0801.8×42026-06-15
MetroHealth System Cleveland$12,8981.9×62026-04-01
Miami Valley Hospital Dayton$13,0821.9×22026-04-01
Atrium Medical Center Franklin$13,1061.9×22026-04-01
Upper Valley Medical Center Troy$13,2691.9×22026-04-01
Adena Fayette Medical Center Washington Ch$14,4212.2×12026-08-19
Kettering Health Greene Memorial Xenia$14,7002.1×62026-04-01
Kettering Health Troy Troy$14,7002.1×62026-04-01
Kettering Health Main Campus Kettering$14,7502.1×62026-04-01
Kettering Health Dayton Dayton$14,7502.1×62026-04-01
Soin Medical Center Beaver Creek$14,7502.1×62026-04-01
Kettering Health Miamisburg Miamisburg$14,8082.1×62026-04-01
Summa Health System Akron$15,6242.3×72026-04-01
Mccullough-Hyde Memorial Hospital Oxford$16,4952.4×72026-04-01
Good Samaritan Hospital Cincinnati$16,4952.4×72026-04-01
Marietta Memorial Hospital Marietta$16,6922.5×12026-10-01
Lima Memorial Health System Lima$19,5352.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$21,6313.2×12026-04-01
Alliance Community Hospital Alliance$24,1043.6×12026-04-01
Aultman Orrville Hospital Orrville$24,1043.6×12026-04-01
Salem Regional Medical Center Salem$27,1264.1×22026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Parma Community General Hospital Parma$4,2080.6×32026-07-14
University Hospitals Conneaut Medical Center Conneaut$4,2080.6×32026-07-14
University Hospitals Ahuja Medical Center Beachwood$4,2430.6×52026-07-14
University Hospitals - Elyria Medical Center Elyria$4,5960.7×42026-07-14
University Hospitals St. John Medical Center Westlake$4,6420.7×42026-07-14
Nationwide Children'S Hospital Columbus$4,6520.7×12026-04-01
University Hospitals Portage Medical Center Ravenna$6,4001.0×32026-07-14
Fisher-Titus Hospital Norwalk$6,6881.0×32026-04-29
Union Hospital Dover$7,0111.1×22026-06-15
Euclid Hospital Euclid$7,3451.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$7,3451.1×32026-06-15
Marymount Hospital Garfield Heights$7,3451.1×32026-06-15
South Pointe Hospital Warrensville Heights$7,3451.1×32026-06-15
Cleveland Clinic (main campus) Cleveland$7,3451.1×52026-06-16
West Chester Hospital, Llc West Chester$8,7301.3×42026-07-01
Adena Pike Medical Center Waverly$8,8931.3×22026-08-19
University Of Cincinnati Medical Center, Llc Cincinnati$9,4461.4×52026-07-01
Medina Hospital Medina$9,5251.4×42026-06-15
Mercy Medical Center Canton$10,3581.6×12026-06-15
Bethesda North Cincinnati$10,6541.6×42026-04-01
Aultman Hospital Canton$11,5571.7×42026-04-01
Adena Regional Medical Center Chillicothe$11,6051.7×42026-08-19
Cleveland Clinic Fairview Hospital Cleveland$11,8581.8×42026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$11,8581.8×42026-06-15
Akron General Medical Center Akron$12,0801.8×42026-06-15
Miami Valley Hospital Dayton$12,4171.8×22026-04-01
Atrium Medical Center Franklin$12,4401.8×22026-04-01
Upper Valley Medical Center Troy$12,6041.8×22026-04-01
MetroHealth System Cleveland$12,8981.9×62026-04-01
Adena Fayette Medical Center Washington Ch$14,4212.2×12026-08-19
Kettering Health Greene Memorial Xenia$14,7002.1×62026-04-01
Kettering Health Troy Troy$14,7002.1×62026-04-01
Kettering Health Main Campus Kettering$14,7502.1×62026-04-01
Kettering Health Dayton Dayton$14,7502.1×62026-04-01
Soin Medical Center Beaver Creek$14,7502.1×62026-04-01
Kettering Health Miamisburg Miamisburg$14,8082.1×62026-04-01
Summa Health System Akron$15,6242.3×72026-04-01
Mccullough-Hyde Memorial Hospital Oxford$16,4952.4×72026-04-01
Good Samaritan Hospital Cincinnati$16,4952.4×72026-04-01
Marietta Memorial Hospital Marietta$16,6922.5×12026-10-01
Lima Memorial Health System Lima$19,5352.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$21,6313.2×12026-04-01
Alliance Community Hospital Alliance$24,1043.6×12026-04-01
Aultman Orrville Hospital Orrville$24,1043.6×12026-04-01
Salem Regional Medical Center Salem$27,1264.1×22026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Ohio?

45 Ohio hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 45 hospitals is $11,605, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.