Price AtlasInteractive atlas · All states · techysurgeon.comSinus surgery (endoscopic): what insurers pay
Endoscopic sinus surgery: maxillary (31267/31256), total ethmoid (31255) or frontal (31276). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 31267: Endoscopy Maxillary Sinus
87 hospitals in 33 markets. National Medicare rate $7,210, surgery center $2,451.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $5,886–$5,886 |
| Austin TX | 2 | — | — | — | $5,223–$6,035 |
| Boston MA | 7 | $8,582 | $9,872 | $11,106 | $8,017–$12,338 |
| California (statewide) | 1 | — | — | — | $13,497–$13,497 |
| Chicago IL | 5 | $8,593 | $9,635 | $9,848 | $5,908–$12,184 |
| Cleveland OH | 5 | $6,514 | $12,654 | $14,455 | $3,818–$16,370 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,093–$17,428 |
| Denver CO | 7 | $5,936 | $5,980 | $12,606 | $5,826–$18,662 |
| Detroit MI | 3 | — | — | — | $4,379–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $5,495–$5,495 |
| Houston TX | 1 | — | — | — | $4,958–$4,958 |
| Kansas (statewide) | 1 | — | — | — | $6,290–$6,290 |
| Las Vegas NV | 2 | — | — | — | $6,125–$8,919 |
| Los Angeles CA | 2 | — | — | — | $9,161–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,038–$5,038 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $12,712–$12,712 |
| Nashville TN | 3 | — | — | — | $3,411–$6,854 |
| New York City | 2 | — | — | — | $8,724–$9,025 |
| Ohio (statewide) | 1 | — | — | — | $10,654–$10,654 |
| Pennsylvania (statewide) | 1 | — | — | — | $13,868–$13,868 |
| Philadelphia PA | 5 | $6,738 | $7,409 | $9,172 | $6,259–$11,208 |
| Phoenix AZ | 3 | — | — | — | $4,000–$4,231 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $13,320 | $13,320 | $16,225 | $13,320–$17,193 |
| Richmond VA | 2 | — | — | — | $8,137–$8,137 |
| San Antonio TX | 1 | — | — | — | $7,942–$7,942 |
| San Diego CA | 1 | — | — | — | $9,077–$9,077 |
| San Francisco Bay Area CA | 2 | — | — | — | $22,816–$24,307 |
| Seattle-Tacoma WA | 6 | $21,243 | $22,988 | $27,598 | $18,849–$30,470 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $5,195–$10,706 |
| Washington DC | 4 | — | — | — | $4,250–$7,357 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.5× | 1 | 2026-01-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,818 | 0.6× | 2 | 2026-07-14 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,000 | 0.5× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,231 | 0.6× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,231 | 0.6× | 3 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $4,250 | 0.5× | 3 | 2026-09-01 |
| Trinity Health Oakland Hospital | Detroit MI | $4,379 | 0.6× | 16 | 2026-03-31 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-10 |
| Houston Methodist Hospital | Houston TX | $4,958 | 0.7× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 0.7× | 1 | 2026-03-06 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $5,038 | 0.7× | 1 | 2026-06-15 |
| Henry Ford Health Rochester Hospital | Detroit MI | $5,156 | 0.7× | 1 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $5,195 | 0.7× | 1 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,223 | 0.7× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,232 | 0.8× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,495 | 0.9× | 3 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $5,826 | 0.8× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $5,886 | 0.8× | 6 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,908 | 0.8× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $5,936 | 0.8× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $5,936 | 0.8× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 0.8× | 3 | 2025-11-01 |
| St David's Medical Center | Austin TX | $6,035 | 0.8× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 0.9× | 3 | 2026-06-29 |
| Henderson Hospital | Las Vegas NV | $6,125 | 0.8× | 1 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $6,158 | 0.8× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,259 | 0.9× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $6,290 | 0.9× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,514 | 1.0× | 2 | 2026-06-16 |
| HCA HealthONE Swedish | Denver CO | $6,550 | 0.9× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $6,738 | 0.9× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $6,854 | 1.0× | 7 | 2025-10-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Reston Hospital Center | Washington DC | $7,357 | 1.0× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $7,357 | 1.0× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 0.9× | 3 | 2026-09-15 |
| Methodist Hospital | San Antonio TX | $7,942 | 1.1× | 4 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $8,017 | 0.9× | 3 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $8,137 | 1.2× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $8,137 | 1.2× | 5 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $8,375 | 1.2× | 5 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $8,518 | 1.0× | 1 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $8,580 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,593 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $8,646 | 1.0× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $8,724 | 1.0× | 8 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $8,919 | 1.2× | 7 | 2026-07-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 1.0× | 7 | 2026-01-01 |
| Scripps Green Hospital | San Diego CA | $9,077 | 1.0× | 1 | 2026-03-30 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.3× | 3 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $9,161 | 1.0× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.3× | 3 | 2026-09-15 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $9,635 | 1.3× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $9,848 | 1.3× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,872 | 1.2× | 1 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $10,654 | 1.6× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $10,706 | 1.4× | 2 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $10,844 | 1.3× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,367 | 1.3× | 1 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $12,184 | 1.6× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,338 | 1.5× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $12,654 | 1.9× | 1 | 2026-06-15 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $12,712 | 1.7× | 1 | 2026-03-31 |
| Legacy Emanuel Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,497 | 1.5× | 5 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $13,868 | 1.9× | 8 | 2026-07-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,455 | 2.2× | 1 | 2026-06-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,370 | 2.5× | 1 | 2026-06-15 |
| Providence St Vincent Medical Center | Portland OR | $17,193 | 2.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $17,193 | 2.2× | 3 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $17,428 | 2.5× | 2 | 2026-04-21 |
| Adventhealth Porter | Denver CO | $18,662 | 2.5× | 1 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $18,662 | 2.5× | 1 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $18,849 | 2.3× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 2.3× | 3 | 2025-11-26 |
| St Clare Hospital | Seattle-Tacoma WA | $21,150 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $21,523 | 2.6× | 6 | 2026-02-28 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $22,816 | 2.3× | 6 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $24,307 | 2.3× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $24,454 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $28,646 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,470 | 3.7× | 4 | 2026-08-27 |
CPT 31255: Nsl/Sins Ndsc W/Tot Ethmdct
85 hospitals in 31 markets. National Medicare rate $7,210, surgery center $2,451.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,040–$7,040 |
| Austin TX | 2 | — | — | — | $5,223–$8,593 |
| Boston MA | 7 | $8,422 | $9,872 | $11,106 | $6,792–$12,338 |
| California (statewide) | 1 | — | — | — | $16,949–$16,949 |
| Chicago IL | 5 | $8,158 | $8,182 | $8,992 | $5,081–$11,462 |
| Cleveland OH | 5 | $10,455 | $12,654 | $14,455 | $4,827–$16,370 |
| Dallas-Fort Worth TX | 4 | — | — | — | $7,373–$19,696 |
| Denver CO | 7 | $8,105 | $8,269 | $9,948 | $7,804–$11,519 |
| Detroit MI | 3 | — | — | — | $4,748–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $7,870–$7,870 |
| Houston TX | 1 | — | — | — | $5,759–$5,759 |
| Kansas (statewide) | 1 | — | — | — | $7,962–$7,962 |
| Las Vegas NV | 2 | — | — | — | $4,152–$8,919 |
| Los Angeles CA | 2 | — | — | — | $10,951–$22,055 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $12,712–$12,712 |
| Nashville TN | 3 | — | — | — | $5,303–$6,922 |
| New York City | 2 | — | — | — | $9,567–$10,978 |
| Ohio (statewide) | 1 | — | — | — | $11,600–$11,600 |
| Pennsylvania (statewide) | 1 | — | — | — | $17,292–$17,292 |
| Philadelphia PA | 5 | $8,394 | $10,110 | $10,400 | $7,916–$12,874 |
| Phoenix AZ | 3 | — | — | — | $5,254–$5,669 |
| Portland OR | 6 | $15,689 | $15,689 | $22,444 | $15,689–$24,695 |
| Richmond VA | 2 | — | — | — | $9,483–$10,016 |
| San Antonio TX | 1 | — | — | — | $8,452–$8,452 |
| San Diego CA | 1 | — | — | — | $9,077–$9,077 |
| San Francisco Bay Area CA | 2 | — | — | — | $27,086–$36,349 |
| Seattle-Tacoma WA | 6 | $21,243 | $22,988 | $27,598 | $18,849–$30,470 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $6,490–$10,706 |
| Washington DC | 4 | — | — | — | $5,053–$9,256 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Henderson Hospital | Las Vegas NV | $4,152 | 0.6× | 3 | 2026-09-01 |
| Trinity Health Oakland Hospital | Detroit MI | $4,748 | 0.7× | 16 | 2026-03-31 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,827 | 0.7× | 3 | 2026-07-14 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-10 |
| George Washington Univ Hospital | Washington DC | $5,053 | 0.6× | 3 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $5,081 | 0.7× | 3 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,223 | 0.7× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $5,254 | 0.7× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $5,254 | 0.7× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,303 | 0.8× | 1 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $5,590 | 0.8× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $5,669 | 0.8× | 3 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $5,759 | 0.8× | 6 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,783 | 0.8× | 4 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $6,490 | 0.9× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,792 | 0.8× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $6,922 | 1.0× | 7 | 2025-10-01 |
| Emory University Hospital | Atlanta GA | $7,040 | 1.0× | 6 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $7,373 | 1.0× | 3 | 2026-06-29 |
| HCA HealthONE Swedish | Denver CO | $7,804 | 1.1× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,870 | 1.3× | 3 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $7,916 | 1.1× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $7,962 | 1.2× | 5 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,996 | 1.1× | 4 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $8,017 | 0.9× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,158 | 1.1× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,182 | 1.1× | 2 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $8,214 | 1.1× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $8,269 | 1.1× | 3 | 2025-11-01 |
| Inova Alexandria Hospital | Washington DC | $8,272 | 1.1× | 5 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $8,378 | 1.1× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $8,394 | 1.2× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $8,452 | 1.2× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $8,593 | 1.2× | 5 | 2026-09-01 |
| Winchester Hospital | Boston MA | $8,827 | 1.0× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $8,919 | 1.2× | 7 | 2026-07-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,992 | 1.2× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $9,077 | 1.0× | 1 | 2026-03-30 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.3× | 3 | 2026-01-01 |
| Reston Hospital Center | Washington DC | $9,256 | 1.3× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $9,256 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,483 | 1.4× | 5 | 2026-09-01 |
| Montefiore Medical Center | New York City | $9,567 | 1.1× | 8 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,872 | 1.2× | 1 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $10,016 | 1.4× | 5 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $10,110 | 1.4× | 3 | 2026-09-15 |
| Jefferson Stratford Hospital | Philadelphia PA | $10,400 | 1.3× | 3 | 2026-09-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $10,455 | 1.6× | 2 | 2026-06-16 |
| Morton Plant Hospital | Tampa FL | $10,706 | 1.4× | 2 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $10,844 | 1.3× | 3 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,951 | 1.2× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $10,978 | 1.3× | 7 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,367 | 1.3× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $11,462 | 1.5× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $11,519 | 1.6× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $11,519 | 1.6× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $11,600 | 1.7× | 4 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $11,960 | 1.7× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,338 | 1.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $12,654 | 1.9× | 1 | 2026-06-15 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $12,712 | 1.7× | 1 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 1.6× | 1 | 2026-03-24 |
| Medical City Plano | Dallas-Fort Worth TX | $13,873 | 2.0× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,455 | 2.2× | 1 | 2026-06-15 |
| Legacy Emanuel Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,689 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,370 | 2.5× | 1 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,949 | 1.9× | 5 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $17,292 | 2.4× | 8 | 2026-07-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $18,849 | 2.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $19,696 | 2.8× | 2 | 2026-04-21 |
| St Clare Hospital | Seattle-Tacoma WA | $21,150 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $21,523 | 2.6× | 6 | 2026-02-28 |
| Cedars-Sinai Medical Center | Los Angeles CA | $22,055 | 2.4× | 3 | 2025-11-26 |
| Swedish Medical Center | Seattle-Tacoma WA | $24,454 | 3.0× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $24,695 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,695 | 3.1× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $27,086 | 2.7× | 6 | 2026-03-23 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $28,646 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,470 | 3.7× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $36,349 | 3.5× | 4 | 2026-04-01 |
CPT 31256: Exploration Maxillary Sinus
91 hospitals in 32 markets. National Medicare rate $3,809, surgery center $1,696.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $5,324–$5,324 |
| Austin TX | 2 | — | — | — | $2,819–$6,035 |
| Boston MA | 7 | $4,907 | $5,748 | $6,310 | $4,086–$6,716 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $5,022 | $5,720 | $5,908 | $3,751–$7,798 |
| Cleveland OH | 5 | $6,514 | $6,685 | $7,636 | $3,174–$8,648 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,093–$10,564 |
| Denver CO | 7 | $4,551 | $4,948 | $5,132 | $4,300–$6,866 |
| Detroit MI | 6 | $2,612 | $2,975 | $2,975 | $2,116–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $5,495–$5,495 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Kansas (statewide) | 1 | — | — | — | $5,707–$5,707 |
| Las Vegas NV | 2 | — | — | — | $2,460–$4,075 |
| Los Angeles CA | 2 | — | — | — | $9,161–$14,342 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $2,963–$2,963 |
| Nashville TN | 4 | — | — | — | $1,869–$4,716 |
| New York City | 2 | — | — | — | $7,404–$9,025 |
| Ohio (statewide) | 1 | — | — | — | $7,528–$7,528 |
| Pennsylvania (statewide) | 1 | — | — | — | $10,740–$10,740 |
| Philadelphia PA | 5 | $6,738 | $7,409 | $9,172 | $6,259–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,418–$3,770 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $11,261 | $11,261 | $12,376 | $11,261–$12,747 |
| Richmond VA | 2 | — | — | — | $7,051–$7,051 |
| San Antonio TX | 1 | — | — | — | $5,500–$5,500 |
| San Diego CA | 1 | — | — | — | $4,795–$4,795 |
| San Francisco Bay Area CA | 3 | — | — | — | $20,580–$24,307 |
| Seattle-Tacoma WA | 6 | $11,623 | $12,578 | $14,921 | $10,039–$16,318 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $3,812–$9,018 |
| Washington DC | 4 | — | — | — | $4,041–$6,750 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.5× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $2,116 | 0.6× | 16 | 2026-03-31 |
| Henderson Hospital | Las Vegas NV | $2,460 | 0.6× | 4 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $2,491 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,819 | 0.8× | 1 | 2026-01-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $2,963 | 0.8× | 3 | 2026-03-31 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,975 | 0.8× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,975 | 0.8× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,975 | 0.8× | 1 | 2026-05-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,174 | 0.9× | 4 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.9× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,418 | 0.9× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,687 | 1.0× | 7 | 2025-10-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 0.9× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,770 | 0.9× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,770 | 0.9× | 5 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $3,812 | 1.0× | 3 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $4,041 | 0.9× | 3 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,075 | 1.0× | 7 | 2026-07-01 |
| Beverly Hospital Corporation | Boston MA | $4,086 | 0.9× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.1× | 6 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $4,300 | 1.1× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,300 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,558 | 1.0× | 4 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $4,716 | 1.3× | 5 | 2026-09-01 |
| Scripps Green Hospital | San Diego CA | $4,795 | 1.0× | 1 | 2026-03-30 |
| HCA HealthONE Swedish | Denver CO | $4,802 | 1.2× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,948 | 1.3× | 4 | 2026-09-01 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 1.3× | 1 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $4,953 | 1.3× | 1 | 2026-06-10 |
| Endeavor Health Edward Hospital | Chicago IL | $5,022 | 1.3× | 2 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 1.4× | 1 | 2026-03-06 |
| HCA HealthONE Sky Ridge | Denver CO | $5,066 | 1.3× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $5,197 | 1.3× | 4 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,256 | 1.2× | 1 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $5,324 | 1.4× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,495 | 1.7× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,500 | 1.5× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $5,707 | 1.6× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,720 | 1.4× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $5,748 | 1.3× | 3 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,908 | 1.5× | 2 | 2026-04-01 |
| St David's Medical Center | Austin TX | $6,035 | 1.6× | 5 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,052 | 1.4× | 1 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 1.6× | 3 | 2026-06-29 |
| Inova Alexandria Hospital | Washington DC | $6,158 | 1.6× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,259 | 1.6× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 1.8× | 3 | 2026-01-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,514 | 1.9× | 2 | 2026-06-16 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,569 | 1.5× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $6,685 | 1.9× | 1 | 2026-06-15 |
| Winchester Hospital | Boston MA | $6,716 | 1.5× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $6,726 | 1.7× | 5 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $6,738 | 1.8× | 2 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $6,750 | 1.8× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $6,866 | 1.8× | 3 | 2025-11-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $7,051 | 1.9× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $7,051 | 1.9× | 5 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.9× | 1 | 2026-09-02 |
| Montefiore Medical Center | New York City | $7,404 | 1.6× | 8 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 1.8× | 3 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $7,489 | 2.0× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $7,528 | 2.1× | 4 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $7,636 | 2.2× | 1 | 2026-06-15 |
| University of Chicago Medical Center | Chicago IL | $7,798 | 1.9× | 2 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $8,458 | 2.3× | 5 | 2026-09-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $8,648 | 2.5× | 1 | 2026-06-15 |
| Morton Plant Hospital | Tampa FL | $9,018 | 2.3× | 2 | 2026-01-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 1.9× | 7 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $9,161 | 1.9× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 2.4× | 3 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,039 | 2.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,564 | 2.8× | 2 | 2026-04-21 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $10,740 | 2.8× | 8 | 2026-07-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 2.7× | 1 | 2026-03-24 |
| Legacy Emanuel Medical Center | Portland OR | $11,261 | 2.7× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $11,261 | 2.7× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $11,261 | 2.7× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $11,261 | 2.7× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $11,572 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $11,776 | 2.7× | 6 | 2026-02-28 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 2.5× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $12,747 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $12,747 | 3.1× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $13,380 | 3.1× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,342 | 3.0× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $15,435 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,318 | 3.8× | 4 | 2026-08-27 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $20,580 | 3.9× | 6 | 2026-03-23 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $22,720 | 4.3× | 6 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $24,307 | 4.4× | 4 | 2026-04-01 |
CPT 31276: Nsl/Sins Ndsc Frnt Tiss Rmvl
86 hospitals in 33 markets. National Medicare rate $7,210, surgery center $2,451.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,285–$6,285 |
| Austin TX | 2 | — | — | — | $5,223–$8,593 |
| Boston MA | 7 | $8,422 | $9,872 | $11,106 | $6,792–$12,338 |
| California (statewide) | 1 | — | — | — | $13,616–$13,616 |
| Chicago IL | 5 | $7,188 | $8,158 | $8,992 | $6,835–$11,462 |
| Cleveland OH | 5 | $7,778 | $12,654 | $14,455 | $4,518–$16,370 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,497–$19,696 |
| Denver CO | 7 | $6,958 | $7,035 | $9,894 | $6,819–$11,519 |
| Detroit MI | 2 | — | — | — | $3,810–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $7,870–$7,870 |
| Houston TX | 1 | — | — | — | $6,192–$6,192 |
| Kansas (statewide) | 1 | — | — | — | $6,290–$6,290 |
| Las Vegas NV | 2 | — | — | — | $6,125–$8,919 |
| Los Angeles CA | 2 | — | — | — | $9,161–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,040–$6,040 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $8,421–$8,421 |
| Nashville TN | 3 | — | — | — | $3,411–$6,854 |
| New York City | 2 | — | — | — | $8,171–$10,024 |
| Ohio (statewide) | 1 | — | — | — | $10,654–$10,654 |
| Pennsylvania (statewide) | 1 | — | — | — | $13,868–$13,868 |
| Philadelphia PA | 5 | $6,738 | $7,409 | $9,172 | $6,259–$11,208 |
| Phoenix AZ | 3 | — | — | — | $4,839–$5,174 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $13,320 | $13,320 | $21,303 | $13,320–$23,964 |
| Richmond VA | 2 | — | — | — | $9,358–$10,016 |
| San Antonio TX | 1 | — | — | — | $9,418–$9,418 |
| San Diego CA | 1 | — | — | — | $9,077–$9,077 |
| San Francisco Bay Area CA | 2 | — | — | — | $26,288–$27,573 |
| Seattle-Tacoma WA | 6 | $21,243 | $22,988 | $27,598 | $18,849–$30,470 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $6,490–$9,226 |
| Washington DC | 4 | — | — | — | $4,250–$9,533 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.5× | 1 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,810 | 0.5× | 1 | 2026-01-01 |
| George Washington Univ Hospital | Washington DC | $4,250 | 0.5× | 3 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,518 | 0.7× | 2 | 2026-07-14 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,839 | 0.6× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,839 | 0.6× | 3 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-10 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 0.7× | 1 | 2026-03-06 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $5,174 | 0.7× | 2 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,223 | 0.7× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,783 | 0.8× | 4 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,040 | 0.8× | 1 | 2026-06-15 |
| Henderson Hospital | Las Vegas NV | $6,125 | 0.8× | 1 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $6,192 | 0.9× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,259 | 0.9× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $6,285 | 0.9× | 6 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $6,290 | 0.9× | 5 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $6,490 | 0.9× | 1 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,497 | 0.9× | 3 | 2026-06-29 |
| Bryn Mawr Hospital | Philadelphia PA | $6,738 | 0.9× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,792 | 0.8× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $6,819 | 0.9× | 4 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $6,835 | 0.9× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $6,854 | 1.0× | 7 | 2025-10-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,880 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $7,035 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,035 | 0.9× | 4 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $7,188 | 0.9× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 0.9× | 3 | 2026-09-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $7,778 | 1.2× | 3 | 2026-06-16 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,870 | 1.3× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $8,017 | 0.9× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,158 | 1.1× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $8,171 | 0.9× | 8 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $8,269 | 1.1× | 3 | 2025-11-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $8,421 | 1.1× | 2 | 2026-03-31 |
| Medical City Plano | Dallas-Fort Worth TX | $8,580 | 1.2× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $8,593 | 1.2× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $8,741 | 1.2× | 5 | 2026-04-01 |
| Winchester Hospital | Boston MA | $8,827 | 1.0× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $8,919 | 1.2× | 7 | 2026-07-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,992 | 1.2× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $9,077 | 1.0× | 1 | 2026-03-30 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.3× | 3 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $9,161 | 1.0× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.3× | 3 | 2026-09-15 |
| Morton Plant Hospital | Tampa FL | $9,226 | 1.3× | 2 | 2026-01-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,352 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,358 | 1.4× | 5 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $9,418 | 1.3× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $9,533 | 1.3× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $9,533 | 1.3× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,872 | 1.2× | 1 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $10,016 | 1.4× | 5 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $10,024 | 1.1× | 7 | 2026-01-01 |
| Bethesda North | Ohio (statewide) | $10,654 | 1.6× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $10,844 | 1.3× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,367 | 1.3× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $11,462 | 1.5× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $11,519 | 1.6× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $11,519 | 1.6× | 2 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,338 | 1.5× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $12,654 | 1.9× | 1 | 2026-06-15 |
| Legacy Emanuel Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,320 | 1.7× | 5 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,616 | 1.5× | 5 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $13,868 | 1.9× | 8 | 2026-07-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,455 | 2.2× | 1 | 2026-06-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,370 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $18,849 | 2.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $19,696 | 2.8× | 2 | 2026-04-21 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 2.3× | 3 | 2025-11-26 |
| St Clare Hospital | Seattle-Tacoma WA | $21,150 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $21,523 | 2.6× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $23,964 | 3.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $23,964 | 3.0× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $24,454 | 3.0× | 5 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $26,288 | 2.6× | 6 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $27,573 | 2.7× | 4 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $28,646 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,470 | 3.7× | 4 | 2026-08-27 |
Questions
How much do commercial insurers pay hospitals for sinus surgery (endoscopic)?
Across 87 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 31267, hospital outpatient is $8,580, 1.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,958 to $13,016. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for sinus surgery (endoscopic)?
Medicare's national hospital outpatient rate for CPT 31267 is $7,210 and its surgery-center rate is $2,451, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for sinus surgery (endoscopic)?
Lowest medians: Ascension Saint Thomas Hospital (Midtown + West) ($3,411), University Hospitals - Elyria Medical Center ($3,818), HonorHealth Scottsdale Thompson Peak Medical Center ($4,000). Highest: Multicare Good Samaritan Hospital ($30,470), Tacoma General Allenmore Hospital ($28,646), Swedish Medical Center ($24,454). Coverage is limited to the markets listed on this page.