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Balloon sinuplasty in Tennessee: what insurers pay

Posted commercial rates at 28 Tennessee 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
Livingston Regional Hospital Livingston$3,2800.5×22026-04-01
Parkwest Medical Center Knoxville$4,5950.7×32026-08-05
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.8×12026-01-01
Morristown Hamblen Hospital Association Morristown$5,6590.9×42026-08-05
Roane Medical Center Harriman$5,6590.9×42026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$5,6590.9×42026-08-05
Fort Sanders Regional Medical Center Knoxville$5,6590.9×42026-08-05
TriStar Skyline Medical Center Nashville$5,7480.8×32026-09-01
Tristar Northcrest Medical Center Springfield$5,7480.8×32026-09-01
Tristar Southern Hills Medical Center Nashville$5,7480.8×32026-09-01
Tristar Ashland City Medical Center Ashland City$5,7480.8×32026-09-01
Tristar Horizon Medical Center Dickson$5,8180.9×32026-09-01
TriStar Summit Medical Center Hermitage$5,8180.9×32026-09-01
TriStar Hendersonville Medical Center Hendersonville$5,8180.9×32026-09-01
TriStar StoneCrest Medical Center Smyrna$5,8180.9×32026-09-01
Cumberland Medical Center Crossville$5,8980.9×42026-08-05
Claiborne Medical Center Tazewell$5,8980.9×42026-08-05
Leconte Medical Center Sevierville$5,8980.9×42026-08-05
Methodist Hospitals of Memphis Memphis$5,9240.9×42026-03-19
Parkridge Medical Center Chattanooga$6,1200.9×32026-09-01
Hardin Medical Center Savannah$7,6961.2×22026-05-01
Erlanger Health System Chattanooga$9,4781.5×12026-01-25
Erlanger Bledsoe Hospital Pikeville$11,6301.8×12026-01-25
Vanderbilt Wilson County Hospital Lebanon$12,2351.8×122025-10-01
Vanderbilt University Medical Center Nashville$13,9662.1×112025-10-01
Vanderbilt Bedford Hospital Shelbyville$14,3692.2×112025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$14,3692.2×112025-10-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Livingston Regional Hospital Livingston$3,2800.5×22026-04-01
Parkwest Medical Center Knoxville$4,5950.7×32026-08-05
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.8×12026-01-01
Morristown Hamblen Hospital Association Morristown$5,6590.9×42026-08-05
Roane Medical Center Harriman$5,6590.9×42026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$5,6590.9×42026-08-05
Fort Sanders Regional Medical Center Knoxville$5,6590.9×42026-08-05
TriStar Skyline Medical Center Nashville$5,7480.8×32026-09-01
Tristar Northcrest Medical Center Springfield$5,7480.8×32026-09-01
Tristar Southern Hills Medical Center Nashville$5,7480.8×32026-09-01
Tristar Ashland City Medical Center Ashland City$5,7480.8×32026-09-01
Tristar Horizon Medical Center Dickson$5,8180.9×32026-09-01
TriStar Summit Medical Center Hermitage$5,8180.9×32026-09-01
TriStar Hendersonville Medical Center Hendersonville$5,8180.9×32026-09-01
TriStar StoneCrest Medical Center Smyrna$5,8180.9×32026-09-01
Cumberland Medical Center Crossville$5,8980.9×42026-08-05
Claiborne Medical Center Tazewell$5,8980.9×42026-08-05
Leconte Medical Center Sevierville$5,8980.9×42026-08-05
Parkridge Medical Center Chattanooga$6,1200.9×32026-09-01
Tennova Healthcare North Knoxville Medical Center Powell$7,6081.2×42026-04-01
Hardin Medical Center Savannah$7,6961.2×22026-05-01
Erlanger Health System Chattanooga$9,4781.5×12026-01-25
Erlanger Bledsoe Hospital Pikeville$11,6301.8×12026-01-25
Vanderbilt Wilson County Hospital Lebanon$13,6132.0×112025-10-01
Vanderbilt University Medical Center Nashville$13,9662.1×112025-10-01
Vanderbilt Bedford Hospital Shelbyville$14,3692.2×112025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$14,3692.2×112025-10-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Livingston Regional Hospital Livingston$3,2360.5×12026-04-01
Parkwest Medical Center Knoxville$4,5950.7×32026-08-05
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.8×12026-01-01
Morristown Hamblen Hospital Association Morristown$5,6590.9×42026-08-05
Roane Medical Center Harriman$5,6590.9×42026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$5,6590.9×42026-08-05
Fort Sanders Regional Medical Center Knoxville$5,6590.9×42026-08-05
TriStar Skyline Medical Center Nashville$5,7480.8×32026-09-01
Tristar Horizon Medical Center Dickson$5,7480.8×32026-09-01
Tristar Northcrest Medical Center Springfield$5,7480.8×32026-09-01
TriStar Summit Medical Center Hermitage$5,7480.8×32026-09-01
Parkridge Medical Center Chattanooga$5,7480.9×32026-09-01
TriStar Hendersonville Medical Center Hendersonville$5,7480.8×32026-09-01
Tristar Southern Hills Medical Center Nashville$5,7480.8×32026-09-01
TriStar StoneCrest Medical Center Smyrna$5,7480.8×32026-09-01
Tristar Ashland City Medical Center Ashland City$5,7480.8×32026-09-01
Cumberland Medical Center Crossville$5,8980.9×42026-08-05
Claiborne Medical Center Tazewell$5,8980.9×42026-08-05
Leconte Medical Center Sevierville$5,8980.9×42026-08-05
Tennova Healthcare North Knoxville Medical Center Powell$7,6081.2×42026-04-01
Hardin Medical Center Savannah$7,6961.2×22026-05-01
Methodist Hospitals of Memphis Memphis$8,2411.3×12026-03-19
Erlanger Health System Chattanooga$9,4781.5×12026-01-25
Erlanger Bledsoe Hospital Pikeville$11,6301.8×12026-01-25
Vanderbilt Wilson County Hospital Lebanon$13,6132.0×112025-10-01
Vanderbilt University Medical Center Nashville$13,9662.1×112025-10-01
Vanderbilt Bedford Hospital Shelbyville$14,3692.2×112025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$14,3692.2×112025-10-01

Questions

How much do insurers pay for balloon sinuplasty in Tennessee?

28 Tennessee hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 27 hospitals is $5,818, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.