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Balloon sinuplasty in Tennessee: what insurers pay

Posted commercial rates at 3 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
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.8×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,8180.9×32026-09-01
Vanderbilt University Medical Center Nashville$7,4701.1×62025-10-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.8×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,8180.9×32026-09-01
Vanderbilt University Medical Center Nashville$7,4701.1×62025-10-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.8×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,7480.8×32026-09-01
Vanderbilt University Medical Center Nashville$6,9941.0×62025-10-01

Questions

How much do insurers pay for balloon sinuplasty in Tennessee?

3 Tennessee hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 3 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.