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Balloon sinuplasty in Washington: what insurers pay

Posted commercial rates at 6 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
Overlake Hospital Medical Center Bellevue$18,8492.3×52026-04-01
St Clare Hospital Lakewood$21,1502.6×62026-02-28
St Anthony Hospital Gig Harbor$21,5232.6×62026-02-28
Swedish Medical Center Seattle$24,4543.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$28,6463.5×52026-08-27
Multicare Good Samaritan Hospital Puyallup$30,4703.7×42026-08-27

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$18,8492.3×52026-04-01
St Clare Hospital Lakewood$21,1502.6×62026-02-28
St Anthony Hospital Gig Harbor$21,5232.6×62026-02-28
Swedish Medical Center Seattle$24,4543.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$28,6463.5×52026-08-27
Multicare Good Samaritan Hospital Puyallup$30,4703.7×42026-08-27

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$18,8492.3×52026-04-01
St Clare Hospital Lakewood$21,1502.6×62026-02-28
St Anthony Hospital Gig Harbor$21,5232.6×62026-02-28
Swedish Medical Center Seattle$24,4543.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$28,6463.5×52026-08-27
Multicare Good Samaritan Hospital Puyallup$30,4703.7×42026-08-27

Questions

How much do insurers pay for balloon sinuplasty in Washington?

6 Washington hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 6 hospitals is $22,989, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.