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Sinus surgery (endoscopic) in New Jersey: what insurers pay

Posted commercial rates at 18 New Jersey hospitals, each next to its own Medicare base rate.

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CPT 31267

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S General Hospital Passaic$4,5510.5×72026-09-01
Morristown Medical Center Morristown$7,4080.9×22026-04-01
Jefferson Stratford Hospital Stratford$7,4090.9×32026-09-15
Newton Medical Center Newton$7,5640.9×112026-04-01
Chilton Medical Center Pompton Plains$8,0321.0×122026-04-01
Overlook Medical Center Summit$8,0321.0×132026-04-01
Centrastate Medical Center Freehold$8,0321.0×142026-01-01
Hackettstown Medical Center Hackettstown$8,0321.0×112026-04-01
Palisades Medical Center North Bergen$8,1521.0×12025-12-31
Englewood Hospital Englewood$8,3111.0×52026-02-02
Shore Medical Center Somers Point$8,9381.1×42026-08-30
St Luke'S Warren Hospital Phillipsburg$9,8501.2×32026-02-27
Valley Hospital Paramus$10,4301.2×42026-05-06
Inspira Medical Center Vineland Vineland$11,2081.4×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2081.4×12026-03-24
St Joseph'S University Medical Center Inc Paterson$14,4211.7×32026-04-24
University Hospital Newark$14,9481.9×22026-08-13

CPT 31255

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S General Hospital Passaic$4,6880.6×72026-09-01
Morristown Medical Center Morristown$8,0321.0×12026-04-01
Chilton Medical Center Pompton Plains$8,0321.0×112026-04-01
Newton Medical Center Newton$8,0321.0×112026-04-01
Overlook Medical Center Summit$8,0321.0×112026-04-01
Centrastate Medical Center Freehold$8,0321.0×162026-01-01
Hackettstown Medical Center Hackettstown$8,0321.0×102026-04-01
Palisades Medical Center North Bergen$8,1521.0×12025-12-31
Shore Medical Center Somers Point$9,9901.3×42026-08-30
Jefferson Stratford Hospital Stratford$10,4001.3×32026-09-15
Inspira Medical Center Vineland Vineland$12,8741.6×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$12,8741.6×12026-03-24
Englewood Hospital Englewood$13,4511.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$14,4211.7×32026-04-24
Valley Hospital Paramus$14,4301.7×42026-05-06
Deborah Heart And Lung Center Browns Mills$22,3752.8×42026-02-26

CPT 31256

HospitalMedian across insurers× MedicareInsurersFile date
Palisades Medical Center North Bergen$4,3421.0×12025-12-31
St Mary'S General Hospital Passaic$4,5681.0×72026-09-01
Englewood Hospital Englewood$7,1641.6×32026-02-02
Morristown Medical Center Morristown$7,4081.8×22026-04-01
Jefferson Stratford Hospital Stratford$7,4091.8×32026-09-15
Shore Medical Center Somers Point$7,4501.8×42026-08-30
St Joseph'S University Medical Center Inc Paterson$7,6191.7×32026-04-24
Chilton Medical Center Pompton Plains$8,0321.9×132026-04-01
Newton Medical Center Newton$8,0321.9×132026-04-01
Overlook Medical Center Summit$8,0321.9×132026-04-01
Centrastate Medical Center Freehold$8,0321.9×152026-01-01
Hackettstown Medical Center Hackettstown$8,0321.9×122026-04-01
St Luke'S Warren Hospital Phillipsburg$9,8502.4×32026-02-27
Valley Hospital Paramus$10,4302.4×42026-05-06
Inspira Medical Center Vineland Vineland$11,2082.7×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2082.7×12026-03-24
Deborah Heart And Lung Center Browns Mills$11,8202.8×42026-02-26

CPT 31276

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S General Hospital Passaic$4,5510.5×72026-09-01
Jefferson Stratford Hospital Stratford$7,4090.9×32026-09-15
Morristown Medical Center Morristown$8,0321.0×12026-04-01
Chilton Medical Center Pompton Plains$8,0321.0×132026-04-01
Newton Medical Center Newton$8,0321.0×132026-04-01
Overlook Medical Center Summit$8,0321.0×132026-04-01
Centrastate Medical Center Freehold$8,0321.0×142026-01-01
Hackettstown Medical Center Hackettstown$8,0321.0×122026-04-01
Palisades Medical Center North Bergen$8,1521.0×12025-12-31
Shore Medical Center Somers Point$8,9381.1×42026-08-30
Englewood Hospital Englewood$10,8811.3×42026-02-02
Inspira Medical Center Vineland Vineland$11,2081.4×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2081.4×12026-03-24
Valley Hospital Paramus$12,6701.5×42026-05-06
St Joseph'S University Medical Center Inc Paterson$14,4211.7×32026-04-24

Questions

How much do insurers pay for sinus surgery (endoscopic) in New Jersey?

18 New Jersey hospitals post usable commercial rates for sinus surgery (endoscopic) in their federal price-transparency files. For CPT 31267, hospital outpatient, the median across 17 hospitals is $8,152, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.