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Balloon sinuplasty in Virginia: what insurers pay

Posted commercial rates at 29 Virginia 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
Spotsylvania Regional Medical Center Fredericksburg$7,9071.1×42026-09-01
Sentara Martha Jefferson Hospital Charlottesville$8,2461.2×32026-04-01
Inova Alexandria Hospital Alexandria$8,7411.2×72026-04-01
Inova Loudoun Hospital Leesburg$8,7411.2×72026-04-01
Inova Fair Oaks Hospital Fairfax$8,7411.2×72026-04-01
Inova Mount Vernon Hospital Alexandria$8,7411.2×72026-04-01
Inova Fairfax Hospital Falls Church$8,8801.2×72026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$9,3581.4×52026-09-01
Reston Hospital Center Reston$9,5331.3×52026-09-01
Stonesprings Hospital Center Dulles$9,5331.3×52026-09-01
Sentara Northern Virginia Medical Center Woodbridge$9,7581.3×42026-04-01
Henrico Doctors' Hospital Richmond$10,0161.4×52026-09-01
Tricities Hospital Hopewell$10,1201.5×42026-09-01
Lewisgale Hospital Pulaski Pulaski$12,4011.8×22026-09-01
Augusta Health Fishersville$14,5982.1×32026-04-01
Lewisgale Medical Center Salem$14,6242.1×22026-09-01
Lewisgale Hospital Alleghany Low Moor$14,7382.1×22026-09-01
Sentara Obici Hospital Suffolk$16,9962.5×32026-04-01
Sentara Leigh Hospital Norfolk$16,9962.5×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$16,9962.5×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$17,1042.5×32026-04-01
Sentara Norfolk General Hospital Norfolk$17,1872.5×32026-04-01
Lewisgale Hospital Montgomery Blacksburg$17,8042.6×22026-09-01
Sentara Careplex Hospital Hampton$20,0552.9×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$21,0293.0×22026-04-01
Sentara Rmh Medical Center Harrisonburg$21,7153.1×12026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$7,9071.1×42026-09-01
Sentara Martha Jefferson Hospital Charlottesville$8,2461.2×32026-04-01
Inova Alexandria Hospital Alexandria$8,7411.2×72026-04-01
Inova Loudoun Hospital Leesburg$8,7411.2×72026-04-01
Inova Fair Oaks Hospital Fairfax$8,7411.2×72026-04-01
Inova Mount Vernon Hospital Alexandria$8,7411.2×72026-04-01
Inova Fairfax Hospital Falls Church$8,8801.2×72026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$9,3581.4×52026-09-01
Reston Hospital Center Reston$9,8891.4×52026-09-01
Stonesprings Hospital Center Dulles$9,8891.4×52026-09-01
Henrico Doctors' Hospital Richmond$10,0161.4×52026-09-01
Tricities Hospital Hopewell$10,1201.5×42026-09-01
Sentara Northern Virginia Medical Center Woodbridge$10,6201.4×42026-04-01
Lewisgale Hospital Pulaski Pulaski$12,4011.8×22026-09-01
Augusta Health Fishersville$14,5982.1×32026-04-01
Lewisgale Medical Center Salem$14,6242.1×22026-09-01
Lewisgale Hospital Alleghany Low Moor$14,7382.1×22026-09-01
Sentara Obici Hospital Suffolk$16,9962.5×32026-04-01
Sentara Leigh Hospital Norfolk$16,9962.5×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$16,9962.5×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$17,1042.5×32026-04-01
Sentara Norfolk General Hospital Norfolk$17,1872.5×32026-04-01
Lewisgale Hospital Montgomery Blacksburg$17,8042.6×22026-09-01
Sentara Careplex Hospital Hampton$20,0552.9×22026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$20,4083.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$20,5933.0×12026-01-02
Sentara Williamsburg Regional Medical Center Williamsburg$21,0293.0×22026-04-01
Sentara Rmh Medical Center Harrisonburg$21,7153.1×12026-04-01
Riverside Regional Medical Center Newport News$22,1373.2×12026-01-02

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Inova Alexandria Hospital Alexandria$6,1580.8×72026-04-01
Inova Loudoun Hospital Leesburg$6,1580.8×72026-04-01
Inova Fairfax Hospital Falls Church$6,1580.8×72026-04-01
Inova Fair Oaks Hospital Fairfax$6,1580.8×72026-04-01
Inova Mount Vernon Hospital Alexandria$6,1580.8×72026-04-01
Sentara Martha Jefferson Hospital Charlottesville$6,7160.9×32026-04-01
Spotsylvania Regional Medical Center Fredericksburg$6,9490.9×42026-09-01
Augusta Health Fishersville$7,0611.0×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$8,1371.2×52026-09-01
Henrico Doctors' Hospital Richmond$8,1371.2×52026-09-01
Tricities Hospital Hopewell$9,1811.3×42026-09-01
Reston Hospital Center Reston$9,8891.4×52026-09-01
Stonesprings Hospital Center Dulles$9,8891.4×52026-09-01
Sentara Northern Virginia Medical Center Woodbridge$10,6201.4×42026-04-01
Lewisgale Hospital Pulaski Pulaski$11,7121.7×22026-09-01
Lewisgale Medical Center Salem$13,4762.0×22026-09-01
Sentara Norfolk General Hospital Norfolk$13,7002.0×32026-04-01
Sentara Obici Hospital Suffolk$13,7002.0×32026-04-01
Sentara Leigh Hospital Norfolk$13,7002.0×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$13,7002.0×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$13,7002.0×32026-04-01
Lewisgale Hospital Alleghany Low Moor$14,0342.0×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$16,7962.4×22026-09-01
Sentara Careplex Hospital Hampton$17,8562.6×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$18,8052.7×22026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$20,4083.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$20,5933.0×12026-01-02
Sentara Rmh Medical Center Harrisonburg$21,7153.1×12026-04-01
Riverside Regional Medical Center Newport News$22,1373.2×12026-01-02

Questions

How much do insurers pay for balloon sinuplasty in Virginia?

29 Virginia hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 26 hospitals is $11,261, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.