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Sinus surgery (endoscopic) in Pennsylvania: what insurers pay

Posted commercial rates at 55 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 31267

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,0310.7×12026-03-06
Jefferson Lansdale Hospital Lansdale$5,5240.8×42026-09-15
Upmc Mercy Pittsburgh$5,6500.8×22026-03-06
Upmc East Monroeville$5,8900.9×22026-03-06
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Paoli Hospital Paoli$6,6301.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Upmc Northwest Seneca$6,7571.0×12026-03-06
Wellspan York Hospital York$6,7781.0×32026-01-01
Upmc Bedford Memorial Everett$6,8121.0×12026-03-06
Lankenau Medical Center Wynnewood$6,8381.0×22026-04-01
Upmc Altoona Altoona$6,8411.0×12026-03-06
Jefferson Abington Hospital Abington$6,9851.0×42026-09-15
Upmc Memorial York$7,1051.0×52026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$7,2511.0×52026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$7,3121.1×52026-09-21
Wayne Memorial Hospital Honesdale$7,5791.1×12026-09-16
Upmc Hamot Erie$7,7751.1×32026-03-06
Jefferson Health-Northeast Philadelphia$8,0871.1×62026-09-15
St Luke'S Hospital Bethlehem Bethlehem$8,1951.1×32026-02-26
Upmc Somerset Somerset$8,9101.3×22026-03-06
Thomas Jefferson University Hospital Philadelphia$9,3041.3×42026-09-15
Temple University Hospital Philadelphia$9,5281.3×92026-04-13
Jefferson Einstein Montgomery Hospital East Norriton$9,5951.4×52026-09-15
Upmc Hanover Hanover$10,5811.5×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$10,9451.6×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$10,9451.5×32026-02-27
Roxborough Memorial Hospital Philadelphia$11,4881.6×62024-06-21
Upmc Washington Washington$11,7971.7×42026-03-06
Lower Bucks Hospital Bristol$12,2761.8×62026-09-01
Saint Vincent Hospital Erie$12,3401.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,5501.8×62026-04-14
St Mary Medical Center Langhorne$13,8472.0×72026-03-31
Lehigh Valley Hospital Allentown$13,8681.9×82026-07-01
Allegheny Valley Hospital Natrona$14,0582.0×62026-04-14
Geisinger St. Luke'S Hospital Orwigsburg$14,0672.0×22026-02-26
Canonsburg General Hospital Canonsburg$14,0942.0×62026-04-14
Grove City Hospital Grove City$14,1652.1×52026-04-14
Forbes Hospital Monroeville$14,4842.1×62026-04-14
Ahn Wexford Hospital Wexford$15,1602.2×62026-04-14
St Clair Hospital Pittsburgh$15,7742.3×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$16,0962.3×22026-02-26
Wellspan Ephrata Community Hospital Ephrata$16,9882.5×22026-01-01
Allegheny General Hospital Pittsburgh$17,4242.5×62026-04-14
West Penn Hospital Pittsburgh$17,5052.5×62026-04-14
Penn State Health Hampden Medical Center Enola$23,5843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$23,8433.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,2133.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$24,9543.6×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$28,0864.0×22026-01-01
Lehigh Valley Hospital - Pocono East Stroudsburg$28,3094.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$28,5024.2×82026-07-01
Penn State Health St. Joseph Reading$31,2104.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$32,4644.5×82026-07-01

CPT 31255

HospitalMedian across insurers× MedicareInsurersFile date
St Mary Medical Center Langhorne$3,9470.6×202026-03-31
Upmc Northwest Seneca$5,3500.8×22026-03-06
Upmc Bedford Memorial Everett$5,5120.8×22026-03-06
Upmc Altoona Altoona$5,5390.8×12026-03-06
Upmc Hamot Erie$6,3020.9×32026-03-06
Jefferson Lansdale Hospital Lansdale$6,7571.0×52026-09-15
Wellspan York Hospital York$6,7781.0×32026-01-01
Temple Health - Chestnut Hill Hospital Philadelphia$7,2511.0×52026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$7,3121.1×52026-09-21
Wayne Memorial Hospital Honesdale$7,5791.1×12026-09-16
Riddle Memorial Hospital Media$7,9161.1×22026-04-01
Jefferson Abington Hospital Abington$8,0141.2×52026-09-15
St Luke'S Hospital Bethlehem Bethlehem$8,1951.1×32026-02-26
Paoli Hospital Paoli$8,2881.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,3941.2×22026-04-01
Lankenau Medical Center Wynnewood$8,4961.2×22026-04-01
Temple University Hospital Philadelphia$9,5281.3×92026-04-13
Jefferson Einstein Montgomery Hospital East Norriton$9,6141.4×62026-09-15
Jefferson Health-Northeast Philadelphia$9,7571.4×62026-09-15
Upmc Hanover Hanover$10,5811.5×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$10,9451.6×32026-02-27
Thomas Jefferson University Hospital Philadelphia$11,2221.6×42026-09-15
Roxborough Memorial Hospital Philadelphia$11,4881.6×62024-06-21
Upmc Washington Washington$11,7971.7×42026-03-06
Lower Bucks Hospital Bristol$12,2761.8×62026-09-01
Saint Vincent Hospital Erie$12,3401.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,5501.8×62026-04-14
Allegheny Valley Hospital Natrona$14,0582.0×62026-04-14
Geisinger St. Luke'S Hospital Orwigsburg$14,0672.0×22026-02-26
Canonsburg General Hospital Canonsburg$14,0942.0×62026-04-14
Grove City Hospital Grove City$14,1652.1×52026-04-14
Forbes Hospital Monroeville$14,4842.1×62026-04-14
Ahn Wexford Hospital Wexford$15,1602.2×62026-04-14
St Clair Hospital Pittsburgh$15,7742.3×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$16,0962.3×22026-02-26
Lehigh Valley Hospital Allentown$17,2922.4×82026-07-01
Allegheny General Hospital Pittsburgh$17,4242.5×62026-04-14
West Penn Hospital Pittsburgh$17,5052.5×62026-04-14
Wellspan Ephrata Community Hospital Ephrata$17,9242.6×22026-01-01
Penn State Health Hampden Medical Center Enola$23,5843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$23,8433.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,2133.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$24,9543.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$28,3094.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$28,5024.2×82026-07-01
Penn State Health St. Joseph Reading$31,2104.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$32,4644.5×82026-07-01

CPT 31256

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Mercy Pittsburgh$2,9060.8×22026-03-06
Upmc Northwest Seneca$3,0120.8×22026-03-06
Upmc Bedford Memorial Everett$3,1090.9×22026-03-06
Upmc East Monroeville$3,2260.9×22026-03-06
Upmc Altoona Altoona$3,2590.9×12026-03-06
Upmc Hamot Erie$3,7091.0×32026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$3,8301.0×72026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$3,9811.1×52026-09-21
Wayne Memorial Hospital Honesdale$4,0041.1×12026-09-16
Jefferson Lansdale Hospital Lansdale$4,6991.3×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$5,0311.4×12026-03-06
Temple University Hospital Philadelphia$5,2831.4×92026-04-13
Riddle Memorial Hospital Media$6,2591.6×22026-04-01
Upmc Washington Washington$6,2831.7×42026-03-06
Roxborough Memorial Hospital Philadelphia$6,2861.6×62024-06-21
Jefferson Abington Hospital Abington$6,3501.8×52026-09-15
Upmc Hanover Hanover$6,4131.8×32026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$6,4141.8×62026-09-15
Saint Vincent Hospital Erie$6,5721.8×62026-04-14
Paoli Hospital Paoli$6,6301.8×22026-04-01
Jefferson Hospital Jefferson Hills$6,6841.8×62026-04-14
Bryn Mawr Hospital Bryn Mawr$6,7381.8×22026-04-01
Lankenau Medical Center Wynnewood$6,8381.9×22026-04-01
Jefferson Health-Northeast Philadelphia$6,8821.8×62026-09-15
Uniontown Hospital Uniontown$6,9151.9×42026-07-09
Upmc Memorial York$7,0741.9×52026-03-06
Lower Bucks Hospital Bristol$7,1292.0×62026-09-01
Allegheny Valley Hospital Natrona$7,4872.1×62026-04-14
Canonsburg General Hospital Canonsburg$7,5062.1×62026-04-14
Grove City Hospital Grove City$7,5442.1×52026-04-14
Forbes Hospital Monroeville$7,7142.1×62026-04-14
Ahn Wexford Hospital Wexford$8,0742.2×62026-04-14
St Luke'S Hospital Bethlehem Bethlehem$8,1952.2×32026-02-26
St Clair Hospital Pittsburgh$8,3332.3×72026-03-31
St Luke'S Hospital - Monroe Campus Stroudsburg$9,1522.5×32026-02-27
Allegheny General Hospital Pittsburgh$9,2802.6×62026-04-14
Thomas Jefferson University Hospital Philadelphia$9,3042.4×42026-09-15
West Penn Hospital Pittsburgh$9,3232.6×62026-04-14
Geisinger St. Luke'S Hospital Orwigsburg$9,4072.6×22026-02-26
St Luke'S Hospital - Upper Bucks Campus Quakertown$10,3742.9×22026-02-26
Lehigh Valley Hospital Allentown$10,7402.8×82026-07-01
Penn State Health Hampden Medical Center Enola$12,4593.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$12,5963.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$12,7913.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$14,6264.0×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$15,0584.2×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$15,3264.2×82026-07-01
Wellspan York Hospital York$15,7444.3×22026-01-01
Penn State Health St. Joseph Reading$16,4884.3×12026-03-27
Wellspan Ephrata Community Hospital Ephrata$16,7584.6×22026-01-01
Lehigh Valley Hospital - Macungie Macungie$17,1504.5×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$24,0016.4×22026-01-01

CPT 31276

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Lansdale Hospital Lansdale$4,6990.7×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$5,0310.7×12026-03-06
Riddle Memorial Hospital Media$6,2590.9×22026-04-01
Jefferson Abington Hospital Abington$6,3500.9×52026-09-15
Paoli Hospital Paoli$6,6301.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Upmc Northwest Seneca$6,7571.0×12026-03-06
Wellspan York Hospital York$6,7781.0×32026-01-01
Upmc Bedford Memorial Everett$6,8121.0×12026-03-06
Lankenau Medical Center Wynnewood$6,8381.0×22026-04-01
Upmc Altoona Altoona$6,8411.0×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$7,2511.0×52026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$7,3121.1×52026-09-21
Wayne Memorial Hospital Honesdale$7,5791.1×12026-09-16
Upmc Hamot Erie$7,7751.1×32026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$7,9441.2×62026-09-15
Jefferson Health-Northeast Philadelphia$8,0871.1×62026-09-15
St Luke'S Hospital Bethlehem Bethlehem$8,1951.1×32026-02-26
Upmc Somerset Somerset$8,9101.3×22026-03-06
Thomas Jefferson University Hospital Philadelphia$9,3041.3×42026-09-15
Temple University Hospital Philadelphia$9,5281.3×92026-04-13
Upmc Hanover Hanover$10,5811.5×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$10,9451.6×32026-02-27
Roxborough Memorial Hospital Philadelphia$11,4881.6×62024-06-21
Upmc Washington Washington$11,7971.7×42026-03-06
Lower Bucks Hospital Bristol$12,2761.8×62026-09-01
Saint Vincent Hospital Erie$12,3401.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,5501.8×62026-04-14
Lehigh Valley Hospital Allentown$13,8681.9×82026-07-01
Allegheny Valley Hospital Natrona$14,0582.0×62026-04-14
Geisinger St. Luke'S Hospital Orwigsburg$14,0672.0×22026-02-26
Canonsburg General Hospital Canonsburg$14,0942.0×62026-04-14
Grove City Hospital Grove City$14,1652.1×52026-04-14
Forbes Hospital Monroeville$14,4842.1×62026-04-14
Ahn Wexford Hospital Wexford$15,1602.2×62026-04-14
St Clair Hospital Pittsburgh$15,7742.3×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$16,0962.3×22026-02-26
Wellspan Ephrata Community Hospital Ephrata$16,9882.5×22026-01-01
Allegheny General Hospital Pittsburgh$17,4242.5×62026-04-14
West Penn Hospital Pittsburgh$17,5052.5×62026-04-14
Penn State Health Hampden Medical Center Enola$23,5843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$23,8433.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,2133.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$24,9543.6×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$28,0864.0×22026-01-01
Lehigh Valley Hospital - Pocono East Stroudsburg$28,3094.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$28,5024.2×82026-07-01
Penn State Health St. Joseph Reading$31,2104.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$32,4644.5×82026-07-01

Questions

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

55 Pennsylvania hospitals post usable commercial rates for sinus surgery (endoscopic) in their federal price-transparency files. For CPT 31267, hospital outpatient, the median across 54 hospitals is $11,217, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.