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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 31295
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $12,844 · local Medicare $9,077 · file 2026-05-29 | |||
| Aetna | $6,640 | 0.7× | 1 |
| Bright Health | $14,523 | 1.6× | 1 |
| Elevance/Anthem/Empire | $14,342 | 1.6× | 1 |
| Health Net | $12,980 | 1.4× | 1 |
| Kaiser Permanente | $9,077 | 1.0× | 1 |
| Providence Health Plan | $12,708 | 1.4× | 1 |
| Scripps Mercy Hospital median $15,885 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| Scripps Memorial Hospital La Jolla median $15,885 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| Scripps Green Hospital median $15,885 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| Scripps Memorial Hospital - Encinitas median $15,885 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| Palomar Medical Center Poway median $16,738 · local Medicare $9,077 · file 2026-04-01 | |||
| Health Net | $16,738 | 1.8× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $12,844 · local Medicare $9,077 · file 2026-05-29 | |||
| Aetna | $6,640 | 0.7× | 1 |
| Bright Health | $14,523 | 1.6× | 1 |
| Elevance/Anthem/Empire | $14,342 | 1.6× | 1 |
| Health Net | $12,980 | 1.4× | 1 |
| Kaiser Permanente | $9,077 | 1.0× | 1 |
| Providence Health Plan | $12,708 | 1.4× | 1 |
| Scripps Mercy Hospital median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Scripps Green Hospital median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Palomar Medical Center Poway median $16,738 · local Medicare $9,077 · file 2026-04-01 | |||
| Health Net | $16,738 | 1.8× | 1 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Scripps Green Hospital median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $15,431 · local Medicare $9,077 · file 2026-03-30 | |||
| Health Net | $22,693 | 2.5× | 1 |
| Mpmg | $9,077 | 1.0× | 1 |
| Prime Healthcare | $15,431 | 1.7× | 1 |
| Prospect Med Group | $15,885 | 1.8× | 1 |
| UnitedHealthcare | $9,077 | 1.0× | 1 |
| Palomar Medical Center Poway median $16,738 · local Medicare $9,077 · file 2026-04-01 | |||
| Health Net | $16,738 | 1.8× | 1 |
Questions
How much does balloon sinuplasty cost with commercial insurance in San Diego CA?
6 San Diego CA hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $15,885; hospital medians range from $12,844 to $16,738. Your cost depends on your plan's deductible and coinsurance.