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Balloon sinuplasty in Pennsylvania: what insurers pay

Posted commercial rates at 42 Pennsylvania 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 Lansdale Hospital Lansdale$4,6990.7×52026-09-15
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Paoli Hospital Paoli$6,6301.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Lankenau Medical Center Wynnewood$6,8381.0×22026-04-01
Upmc Altoona Altoona$6,8411.0×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$7,3121.1×52026-09-21
Wayne Memorial Hospital Honesdale$7,5791.1×12026-09-16
Jefferson Abington Hospital Abington$8,0141.2×52026-09-15
Upmc Cole Coudersport$8,1131.2×12026-03-06
St Luke'S Hospital Bethlehem Bethlehem$8,1951.1×32026-02-26
Jefferson Einstein Montgomery Hospital East Norriton$10,8981.6×62026-09-15
Jefferson Health-Northeast Philadelphia$11,0401.5×62026-09-15
Roxborough Memorial Hospital Philadelphia$11,4881.6×62024-06-21
Lower Bucks Hospital Bristol$12,2761.8×62026-09-01
Saint Vincent Hospital Erie$12,3401.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,5501.8×62026-04-14
Thomas Jefferson University Hospital Philadelphia$13,2201.8×42026-09-15
Allegheny Valley Hospital Natrona$14,0582.0×62026-04-14
Canonsburg General Hospital Canonsburg$14,0942.0×62026-04-14
Grove City Hospital Grove City$14,1652.1×52026-04-14
Forbes Hospital Monroeville$14,4842.1×62026-04-14
Ahn Wexford Hospital Wexford$15,1602.2×62026-04-14
Allegheny General Hospital Pittsburgh$17,4242.5×62026-04-14
West Penn Hospital Pittsburgh$17,5052.5×62026-04-14
Lehigh Valley Hospital Allentown$19,3262.7×62026-07-01
Upmc Presbyterian Shadyside Pittsburgh$21,8223.2×12026-03-06
Penn State Health Hampden Medical Center Enola$23,5843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$23,8433.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,2133.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$24,9543.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$28,3094.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$28,5024.2×82026-07-01
Penn State Health St. Joseph Reading$31,2104.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$32,4644.5×82026-07-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Lansdale Hospital Lansdale$4,6990.7×52026-09-15
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Paoli Hospital Paoli$6,6301.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Wellspan York Hospital York$6,7781.0×32026-01-01
Lankenau Medical Center Wynnewood$6,8381.0×22026-04-01
Upmc Altoona Altoona$6,8411.0×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$7,3121.1×52026-09-21
Wayne Memorial Hospital Honesdale$7,5791.1×12026-09-16
Jefferson Abington Hospital Abington$8,0141.2×52026-09-15
St Luke'S Hospital Bethlehem Bethlehem$8,1951.1×32026-02-26
Upmc Cole Coudersport$8,2401.2×12026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$10,8981.6×62026-09-15
Jefferson Health-Northeast Philadelphia$11,0401.5×62026-09-15
Roxborough Memorial Hospital Philadelphia$11,4881.6×62024-06-21
Lower Bucks Hospital Bristol$12,2761.8×62026-09-01
Saint Vincent Hospital Erie$12,3401.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,5501.8×62026-04-14
Thomas Jefferson University Hospital Philadelphia$13,2201.8×42026-09-15
Allegheny Valley Hospital Natrona$14,0582.0×62026-04-14
Canonsburg General Hospital Canonsburg$14,0942.0×62026-04-14
Grove City Hospital Grove City$14,1652.1×52026-04-14
Forbes Hospital Monroeville$14,4842.1×62026-04-14
Ahn Wexford Hospital Wexford$15,1602.2×62026-04-14
St Clair Hospital Pittsburgh$15,7742.3×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$16,0962.3×22026-02-26
Upmc Hanover Hanover$16,6932.4×32026-03-06
Allegheny General Hospital Pittsburgh$17,4242.5×62026-04-14
West Penn Hospital Pittsburgh$17,5052.5×62026-04-14
Lehigh Valley Hospital Allentown$19,3262.7×82026-07-01
Penn State Health Hampden Medical Center Enola$23,5843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$23,8433.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,2133.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$24,9543.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$28,3094.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$28,5024.2×82026-07-01
Penn State Health St. Joseph Reading$31,2104.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$32,4644.5×82026-07-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Paoli Hospital Paoli$6,6301.0×22026-04-01
Temple Health - Chestnut Hill Hospital Philadelphia$6,6820.9×62026-04-08
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Lankenau Medical Center Wynnewood$6,8381.0×22026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$7,3121.1×52026-09-21
Wayne Memorial Hospital Honesdale$7,5791.1×12026-09-16
Upmc Cole Coudersport$8,0441.2×12026-03-06
Jefferson Lansdale Hospital Lansdale$8,5051.2×42026-09-15
Hospital Of The Fox Chase Cancer Center Philadelphia$9,6671.3×62026-04-08
Temple University Hospital Philadelphia$10,0701.4×92026-04-13
Jefferson Abington Hospital Abington$10,1621.5×42026-09-15
Jefferson Health-Northeast Philadelphia$11,0401.5×62026-09-15
Roxborough Memorial Hospital Philadelphia$11,4881.6×62024-06-21
Jefferson Einstein Montgomery Hospital East Norriton$12,2001.8×52026-09-15
Lower Bucks Hospital Bristol$12,2761.8×62026-09-01
Saint Vincent Hospital Erie$12,3401.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,5501.8×62026-04-14
Thomas Jefferson University Hospital Philadelphia$13,2201.8×42026-09-15
Allegheny Valley Hospital Natrona$14,0582.0×62026-04-14
Canonsburg General Hospital Canonsburg$14,0942.0×62026-04-14
Grove City Hospital Grove City$14,1652.1×52026-04-14
Forbes Hospital Monroeville$14,4842.1×62026-04-14
Ahn Wexford Hospital Wexford$15,1602.2×62026-04-14
St Clair Hospital Pittsburgh$15,7742.3×72026-03-31
Allegheny General Hospital Pittsburgh$17,4242.5×62026-04-14
West Penn Hospital Pittsburgh$17,5052.5×62026-04-14
Lehigh Valley Hospital Allentown$19,3262.7×62026-07-01
Penn State Health Hampden Medical Center Enola$23,5843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$23,8433.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,2133.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$24,9543.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$28,3094.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$28,5024.2×82026-07-01
Penn State Health St. Joseph Reading$31,2104.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$32,4644.5×82026-07-01

Questions

How much do insurers pay for balloon sinuplasty in Pennsylvania?

42 Pennsylvania hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 35 hospitals is $13,220, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.