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Balloon sinuplasty in Washington: what insurers pay

Posted commercial rates at 28 Washington 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
Providence St Mary Medical Center Walla Walla$12,0621.5×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$15,5122.0×72026-04-01
St Elizabeth Hospital Enumclaw$16,8342.0×72026-02-28
St Clare Hospital Lakewood$16,9152.0×92026-02-28
St Joseph Medical Center Tacoma$16,9152.0×92026-02-28
St Francis Community Hospital Federal Way$16,9152.1×92026-02-28
St Anthony Hospital Gig Harbor$17,4852.1×92026-02-28
Overlake Hospital Medical Center Bellevue$17,5852.1×62026-04-01
Swedish Issaquah Issaquah$18,0112.2×72026-04-01
St Anne Hospital Burien$18,1562.2×82026-02-28
Multicare Capital Medical Center Olympia$18,2962.3×82026-08-27
Providence Regional Medical Center Everett Everett$18,6462.4×72026-04-01
Providence Holy Family Hospital Spokane$19,6922.5×62026-04-01
Swedish Edmonds Hospital Edmonds$19,7562.5×62026-04-01
Multicare Deaconess Hospital Spokane$20,2702.6×52026-08-27
Multicare Valley Hospital Spokane$20,3372.6×62026-08-27
Kadlec Regional Medical Center Richland$21,1382.7×42026-04-01
Virginia Mason Medical Center Seattle$21,3782.6×62026-01-01
Multicare Auburn Medical Center Auburn$24,1803.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$24,1802.9×82026-08-27
Multicare Covington Medical Center Covington$24,1803.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$24,2273.0×72026-04-01
Swedish Medical Center Seattle$24,8283.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$27,1083.3×62026-08-27
St Michael Medical Center Bremerton$29,1603.6×32026-02-28
Providence Centralia Hospital Centralia$31,1924.0×42026-04-01
Mary Bridge Children'S Hospital Tacoma$35,7664.3×52026-08-27

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Mary Medical Center Walla Walla$12,0621.5×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$15,5122.0×72026-04-01
St Elizabeth Hospital Enumclaw$16,8342.0×72026-02-28
St Clare Hospital Lakewood$16,9152.0×92026-02-28
St Joseph Medical Center Tacoma$16,9152.0×92026-02-28
St Francis Community Hospital Federal Way$16,9152.1×92026-02-28
St Anthony Hospital Gig Harbor$17,4852.1×92026-02-28
Overlake Hospital Medical Center Bellevue$17,5852.1×62026-04-01
Swedish Issaquah Issaquah$18,0112.2×72026-04-01
St Anne Hospital Burien$18,1562.2×82026-02-28
Multicare Capital Medical Center Olympia$18,2962.3×82026-08-27
Providence Regional Medical Center Everett Everett$18,6462.4×72026-04-01
Providence Holy Family Hospital Spokane$19,6922.5×62026-04-01
Swedish Edmonds Hospital Edmonds$19,7562.5×62026-04-01
Multicare Deaconess Hospital Spokane$20,2702.6×52026-08-27
Multicare Valley Hospital Spokane$20,3372.6×62026-08-27
Kadlec Regional Medical Center Richland$21,1382.7×42026-04-01
Virginia Mason Medical Center Seattle$21,3782.6×62026-01-01
Multicare Auburn Medical Center Auburn$24,1803.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$24,1802.9×82026-08-27
Multicare Covington Medical Center Covington$24,1803.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$24,2273.0×72026-04-01
Swedish Medical Center Seattle$24,8283.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$27,1083.3×62026-08-27
St Michael Medical Center Bremerton$29,1603.6×32026-02-28
Providence Centralia Hospital Centralia$31,1924.0×42026-04-01
Mary Bridge Children'S Hospital Tacoma$41,5615.0×42026-08-27

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Mary Medical Center Walla Walla$12,0621.5×62026-04-01
Confluence Health Hospital Wenatchee$14,9961.9×22026-04-21
Legacy Salmon Creek Medical Center Vancouver$15,5122.0×72026-04-01
St Elizabeth Hospital Enumclaw$16,8342.0×72026-02-28
St Clare Hospital Lakewood$16,9152.0×92026-02-28
St Joseph Medical Center Tacoma$16,9152.0×92026-02-28
St Francis Community Hospital Federal Way$16,9152.1×92026-02-28
St Anthony Hospital Gig Harbor$17,4852.1×92026-02-28
Overlake Hospital Medical Center Bellevue$17,5852.1×62026-04-01
Swedish Issaquah Issaquah$18,0112.2×72026-04-01
St Anne Hospital Burien$18,1562.2×82026-02-28
Multicare Capital Medical Center Olympia$18,2962.3×82026-08-27
Providence Regional Medical Center Everett Everett$18,6462.4×72026-04-01
Providence Holy Family Hospital Spokane$19,6922.5×62026-04-01
Swedish Edmonds Hospital Edmonds$19,7562.5×62026-04-01
Multicare Deaconess Hospital Spokane$20,2702.6×52026-08-27
Multicare Valley Hospital Spokane$20,3372.6×62026-08-27
Kadlec Regional Medical Center Richland$21,1382.7×42026-04-01
Virginia Mason Medical Center Seattle$21,3782.6×62026-01-01
Multicare Auburn Medical Center Auburn$24,1803.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$24,1802.9×82026-08-27
Multicare Covington Medical Center Covington$24,1803.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$24,2273.0×72026-04-01
Swedish Medical Center Seattle$24,8283.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$27,1083.3×62026-08-27
St Michael Medical Center Bremerton$29,1603.6×32026-02-28
Providence Centralia Hospital Centralia$31,1924.0×42026-04-01
Mary Bridge Children'S Hospital Tacoma$41,5615.0×42026-08-27

Questions

How much do insurers pay for balloon sinuplasty in Washington?

28 Washington 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 $19,756, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.