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Balloon sinuplasty in Rhode Island: what insurers pay

Posted commercial rates at 4 Rhode Island 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
Landmark Medical Center Woonsocket$7,8961.0×32026-09-01
Rhode Island Hospital Providence$9,8131.2×52026-04-01
Newport Hospital Newport$11,9501.5×52026-04-01
The Miriam Hospital Providence$13,2881.7×32026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Landmark Medical Center Woonsocket$7,8961.0×32026-09-01
Rhode Island Hospital Providence$9,8131.2×52026-04-01
Newport Hospital Newport$11,9501.5×52026-04-01
The Miriam Hospital Providence$13,2881.7×32026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Landmark Medical Center Woonsocket$7,8961.0×32026-09-01
Newport Hospital Newport$8,8581.1×52026-04-01
Rhode Island Hospital Providence$9,8131.2×52026-04-01
The Miriam Hospital Providence$13,2881.7×32026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Rhode Island?

4 Rhode Island hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 4 hospitals is $10,882, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.