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Sinus surgery (endoscopic) in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 31267

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,0310.7×12026-03-06
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1721.3×32026-09-15
Lehigh Valley Hospital Allentown$13,8681.9×82026-07-01

CPT 31255

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$7,9161.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,3941.2×22026-04-01
Thomas Jefferson University Hospital Philadelphia$10,1101.4×32026-09-15
Lehigh Valley Hospital Allentown$17,2922.4×82026-07-01

CPT 31256

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,0311.4×12026-03-06
Riddle Memorial Hospital Media$6,2591.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7381.8×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1722.4×32026-09-15
Lehigh Valley Hospital Allentown$10,7402.8×82026-07-01

CPT 31276

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,0310.7×12026-03-06
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1721.3×32026-09-15
Lehigh Valley Hospital Allentown$13,8681.9×82026-07-01

Questions

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

5 Pennsylvania hospitals post usable commercial rates for sinus surgery (endoscopic) in their federal price-transparency files. For CPT 31267, hospital outpatient, the median across 5 hospitals is $6,738, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.