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Balloon sinuplasty in Oregon: what insurers pay

Posted commercial rates at 16 Oregon 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
Sky Lakes Medical Center Klamath Falls$7,6891.0×72026-03-25
Legacy Silverton Medical Center Silverton$13,2461.7×32026-04-01
Legacy Emanuel Medical Center Portland$15,6892.0×82026-04-01
Legacy Good Samaritan Medical Center Portland$15,6892.0×82026-04-01
Legacy Mount Hood Medical Center Gresham$15,6892.0×82026-04-01
Legacy Meridian Park Medical Center Tualatin$15,6892.0×82026-04-01
Kaiser Sunnyside Medical Center Clackamas$17,7272.3×12026-04-01
Kaiser Foundation Hospital Westside Hillsboro$17,7272.3×12026-04-01
Good Samaritan Regional Medical Center Corvallis$19,3722.5×22026-01-31
Samaritan Albany General Hospital Albany$24,5353.1×12026-01-31
Providence St Vincent Medical Center Portland$26,9883.4×42026-04-01
Providence Willamette Falls Medical Center Oregon City$26,9883.4×42026-04-01
Providence Portland Medical Center Portland$26,9883.4×42026-04-01
Providence Milwaukie Hospital Milwaukie$26,9883.4×42026-04-01
Salem Hospital Salem$27,1263.4×22026-04-01
Providence Medford Medical Center Medford$31,6063.8×22026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Sky Lakes Medical Center Klamath Falls$7,6891.0×72026-03-25
Legacy Silverton Medical Center Silverton$13,2461.7×32026-04-01
Legacy Emanuel Medical Center Portland$15,6892.0×82026-04-01
Legacy Good Samaritan Medical Center Portland$15,6892.0×82026-04-01
Legacy Mount Hood Medical Center Gresham$15,6892.0×82026-04-01
Legacy Meridian Park Medical Center Tualatin$15,6892.0×82026-04-01
Kaiser Sunnyside Medical Center Clackamas$17,7272.3×12026-04-01
Kaiser Foundation Hospital Westside Hillsboro$17,7272.3×12026-04-01
Good Samaritan Regional Medical Center Corvallis$19,3722.5×22026-01-31
Samaritan Albany General Hospital Albany$24,5353.1×12026-01-31
Providence St Vincent Medical Center Portland$26,9883.4×42026-04-01
Providence Willamette Falls Medical Center Oregon City$26,9883.4×42026-04-01
Providence Portland Medical Center Portland$26,9883.4×42026-04-01
Providence Milwaukie Hospital Milwaukie$26,9883.4×42026-04-01
Salem Hospital Salem$27,1263.4×22026-04-01
Providence Medford Medical Center Medford$31,6063.8×22026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Silverton Medical Center Silverton$13,0871.6×32026-04-01
Legacy Emanuel Medical Center Portland$15,6892.0×82026-04-01
Legacy Good Samaritan Medical Center Portland$15,6892.0×82026-04-01
Legacy Mount Hood Medical Center Gresham$15,6892.0×82026-04-01
Legacy Meridian Park Medical Center Tualatin$15,6892.0×82026-04-01
Kaiser Sunnyside Medical Center Clackamas$17,7272.3×12026-04-01
Kaiser Foundation Hospital Westside Hillsboro$17,7272.3×12026-04-01
Good Samaritan Regional Medical Center Corvallis$19,3722.5×22026-01-31
Samaritan Albany General Hospital Albany$24,5353.1×12026-01-31
Providence St Vincent Medical Center Portland$26,6223.4×42026-04-01
Providence Willamette Falls Medical Center Oregon City$26,6223.4×42026-04-01
Providence Portland Medical Center Portland$26,6223.4×42026-04-01
Providence Milwaukie Hospital Milwaukie$26,6223.4×42026-04-01
Salem Hospital Salem$27,1263.4×22026-04-01
Providence Medford Medical Center Medford$31,6063.8×22026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Oregon?

16 Oregon hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 16 hospitals is $18,550, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.