A flexible scope look at the voice box in the office. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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1332 hospitals in 83 markets. National Medicare rate $204, surgery center $93.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 16 | $174 | $208 | $340 | $166–$572 |
| Alaska (statewide) | 3 | — | — | — | $137–$1,261 |
| Arizona (statewide) | 22 | $310 | $326 | $341 | $115–$986 |
| Arkansas (statewide) | 14 | $188 | $202 | $424 | $160–$1,160 |
| Atlanta GA | 6 | $793 | $1,343 | $1,343 | $601–$1,343 |
| Austin TX | 13 | $193 | $491 | $1,494 | $188–$1,494 |
| Boston MA | 16 | $188 | $296 | $382 | $176–$599 |
| California (statewide) | 68 | $282 | $573 | $735 | $155–$1,590 |
| Charlotte NC | 6 | $231 | $231 | $231 | $228–$258 |
| Chicago IL | 9 | $308 | $695 | $840 | $220–$1,356 |
| Cleveland OH | 11 | $198 | $278 | $534 | $189–$1,226 |
| Colorado (statewide) | 21 | $287 | $424 | $575 | $195–$1,598 |
| Columbus OH | 2 | — | — | — | $718–$718 |
| Connecticut (statewide) | 3 | — | — | — | $239–$1,654 |
| Dallas-Fort Worth TX | 14 | $300 | $655 | $1,573 | $286–$1,573 |
| Delaware (statewide) | 1 | — | — | — | $325–$325 |
| Denver CO | 14 | $705 | $881 | $1,048 | $195–$1,475 |
| Detroit MI | 17 | $183 | $210 | $292 | $146–$896 |
| Florida (statewide) | 63 | $254 | $1,372 | $1,495 | $114–$1,575 |
| Georgia (statewide) | 27 | $402 | $670 | $1,009 | $182–$1,343 |
| Hawaii (statewide) | 9 | $454 | $469 | $588 | $248–$1,600 |
| Houston TX | 17 | $211 | $346 | $994 | $163–$994 |
| Idaho (statewide) | 17 | $168 | $342 | $493 | $102–$725 |
| Illinois (statewide) | 37 | $241 | $321 | $531 | $114–$1,210 |
| Indiana (statewide) | 32 | $165 | $306 | $424 | $123–$1,045 |
| Indianapolis IN | 5 | $423 | $514 | $904 | $134–$1,077 |
| Iowa (statewide) | 30 | $187 | $302 | $399 | $97–$1,382 |
| Kansas (statewide) | 29 | $215 | $239 | $552 | $155–$1,422 |
| Kentucky (statewide) | 13 | $262 | $302 | $332 | $96–$400 |
| Las Vegas NV | 2 | — | — | — | $429–$521 |
| Los Angeles CA | 17 | $481 | $799 | $917 | $295–$1,302 |
| Louisiana (statewide) | 21 | $364 | $416 | $436 | $157–$1,008 |
| Maine (statewide) | 17 | $795 | $893 | $924 | $155–$1,161 |
| Maryland (statewide) | 1 | — | — | — | $488–$488 |
| Massachusetts (statewide) | 10 | $196 | $246 | $296 | $188–$930 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $166–$591 |
| Michigan (statewide) | 30 | $211 | $228 | $240 | $111–$313 |
| Minneapolis-St. Paul MN | 13 | $369 | $466 | $963 | $189–$1,022 |
| Minnesota (statewide) | 17 | $431 | $524 | $700 | $124–$1,086 |
| Mississippi (statewide) | 13 | $266 | $311 | $356 | $199–$680 |
| Missouri (statewide) | 21 | $242 | $257 | $352 | $130–$996 |
| Montana (statewide) | 6 | $392 | $490 | $572 | $108–$583 |
| Nashville TN | 8 | $336 | $692 | $990 | $260–$990 |
| Nebraska (statewide) | 23 | $222 | $333 | $384 | $114–$898 |
| Nevada (statewide) | 6 | $434 | $494 | $521 | $402–$521 |
| New Hampshire (statewide) | 6 | $854 | $974 | $1,080 | $658–$1,425 |
| New Jersey (statewide) | 27 | $215 | $341 | $597 | $212–$1,269 |
| New Mexico (statewide) | 7 | $299 | $445 | $664 | $149–$857 |
| New York (statewide) | 43 | $268 | $344 | $684 | $130–$1,104 |
| New York City | 8 | $362 | $746 | $746 | $249–$757 |
| North Carolina (statewide) | 7 | $330 | $494 | $502 | $182–$772 |
| North Dakota (statewide) | 5 | $350 | $453 | $521 | $228–$522 |
| Ohio (statewide) | 41 | $285 | $519 | $606 | $150–$893 |
| Oklahoma (statewide) | 16 | $277 | $388 | $446 | $133–$774 |
| Oregon (statewide) | 17 | $281 | $448 | $688 | $120–$1,531 |
| Pennsylvania (statewide) | 49 | $348 | $467 | $682 | $135–$1,106 |
| Philadelphia PA | 10 | $259 | $422 | $588 | $256–$1,356 |
| Phoenix AZ | 11 | $397 | $500 | $500 | $311–$974 |
| Pittsburgh PA | 11 | $336 | $365 | $485 | $249–$736 |
| Portland OR | 9 | $618 | $618 | $752 | $532–$752 |
| Research Triangle NC | 2 | — | — | — | $188–$1,212 |
| Rhode Island (statewide) | 5 | $268 | $766 | $805 | $194–$914 |
| Richmond VA | 3 | — | — | — | $1,203–$1,203 |
| Rio Grande Valley TX | 5 | $269 | $339 | $807 | $259–$914 |
| Salt Lake City UT | 9 | $307 | $307 | $307 | $180–$311 |
| San Antonio TX | 3 | — | — | — | $301–$1,174 |
| San Diego CA | 6 | $449 | $449 | $449 | $363–$473 |
| San Francisco Bay Area CA | 5 | $352 | $352 | $667 | $294–$1,116 |
| Seattle-Tacoma WA | 16 | $578 | $588 | $724 | $521–$740 |
| South Carolina (statewide) | 31 | $344 | $494 | $710 | $252–$1,040 |
| South Dakota (statewide) | 3 | — | — | — | $231–$290 |
| St. Louis MO | 3 | — | — | — | $1,199–$1,607 |
| Tampa FL | 6 | $202 | $202 | $564 | $202–$1,320 |
| Tennessee (statewide) | 34 | $222 | $241 | $342 | $186–$1,187 |
| Texas (statewide) | 70 | $266 | $440 | $996 | $114–$1,573 |
| Utah (statewide) | 9 | $180 | $230 | $288 | $122–$681 |
| Vermont (statewide) | 4 | — | — | — | $144–$465 |
| Virginia (statewide) | 19 | $388 | $614 | $715 | $218–$978 |
| Washington (statewide) | 17 | $556 | $576 | $664 | $171–$1,092 |
| Washington DC | 11 | $654 | $785 | $878 | $375–$1,373 |
| West Virginia (statewide) | 13 | $106 | $168 | $220 | $105–$786 |
| Wisconsin (statewide) | 45 | $340 | $981 | $1,328 | $148–$1,384 |
| Wyoming (statewide) | 2 | — | — | — | $171–$171 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Tug Valley Arh Regional Medical Center | Kentucky (statewide) | $96 | 0.5× | 1 | 2026-01-01 |
| Hawarden Regional Healthcare | Iowa (statewide) | $97 | 0.5× | 1 | 2026-04-24 |
| West Valley Medical Center | Idaho (statewide) | $102 | 0.5× | 3 | 2026-09-01 |
| West Virginia University Hospitals, Inc | West Virginia (statewide) | $105 | 0.6× | 1 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-10 |
| Berkeley Medical Center | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-09 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-09 |
| Camden Clark Medical Center | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-09 |
| Community Hospital Of Anaconda | Montana (statewide) | $108 | 0.5× | 1 | 2026-07-20 |
| Henry Ford Health Providence Southfield Hospital | Michigan (statewide) | $111 | 0.6× | 1 | 2026-01-01 |
| Henry Ford Genesys Hospital | Michigan (statewide) | $112 | 0.6× | 5 | 2026-01-01 |
| Oaklawn Hospital | Michigan (statewide) | $112 | 0.6× | 2 | 2026-03-27 |
| Medical City Dallas | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Lewisville | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Arlington | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Las Colinas | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Alliance | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Hca Florida Mercy Hospital | Florida (statewide) | $1,575 | 7.6× | 1 | 2026-09-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $1,590 | 6.2× | 2 | 2026-04-01 |
| Parkview Medical Center, Inc | Colorado (statewide) | $1,598 | 7.6× | 3 | 2025-11-01 |
| Kona Community Hospital | Hawaii (statewide) | $1,600 | 6.8× | 1 | 2026-06-15 |
| Alton Memorial Hospital | St. Louis MO | $1,607 | 7.5× | 1 | 2025-12-15 |
| Uconn Health Waterbury Hospital | Connecticut (statewide) | $1,654 | 6.8× | 1 | 2026-05-13 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Across 1332 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 31575, hospital outpatient is $391, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $248 to $735. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 31575 is $204 and its surgery-center rate is $93, before local wage adjustment.
Lowest medians: Tug Valley Arh Regional Medical Center ($96), Hawarden Regional Healthcare ($97), West Valley Medical Center ($102). Highest: Uconn Health Waterbury Hospital ($1,654), Alton Memorial Hospital ($1,607), Kona Community Hospital ($1,600). Coverage: every hospital whose price file we could read.