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Sinus surgery (endoscopic) in Tennessee: what insurers pay

Posted commercial rates at 4 Tennessee 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
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,4110.5×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,2320.8×42026-09-01
Vanderbilt University Medical Center Nashville$6,8541.0×72025-10-01

CPT 31255

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,3030.8×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,7830.8×42026-09-01
Vanderbilt University Medical Center Nashville$6,9221.0×72025-10-01

CPT 31256

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$1,8690.5×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,4110.9×12026-01-01
Vanderbilt University Medical Center Nashville$3,6871.0×72025-10-01
TriStar StoneCrest Medical Center Smyrna$4,7161.3×52026-09-01

CPT 31276

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,4110.5×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,7830.8×42026-09-01
Vanderbilt University Medical Center Nashville$6,8541.0×72025-10-01

Questions

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

4 Tennessee hospitals post usable commercial rates for sinus surgery (endoscopic) in their federal price-transparency files. For CPT 31267, hospital outpatient, the median across 3 hospitals is $5,232, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.