Surgery and procedures CPT 31256 Inpatient — admitted to hospital

Sinus surgery, maxillary cost in Janesville, WI — inpatient

In Janesville-Beloit, WI, 1 hospital lists a cash price for endoscopic sinus surgery: opening the maxillary (cheek) sinus as an inpatient: from $455.52 to $455.52, with a median of $455.52. Across Wisconsin, the median is $1,989.40 at 28 hospitals.

Cash prices at 1 facility for code 31256, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$455.52Edgerton Hospital and Health Services
Median$455.52half pay less
Highest$455.52in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Edgerton Hospital and Health Services Edgerton, WI · (608) 884-3441 HP ENDO NASAL SINUS ANTROSTOMY MAXILL $455.52 $624.00 $55.00–$450.00 27% —
source file

Inpatient: lowest $455.52, median $455.52, highest $455.52.

As an outpatient, the same code is billed by 1 facility here, median $455.52 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This code covers endoscopic surgery through the nose to widen the natural opening of the maxillary sinus behind the cheek.

What the price covers

The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately.