Surgery and procedures CPT 31256 Outpatient

Sinus surgery, maxillary cost in Utica, NY

In Utica-Rome, NY, 2 hospitals list a cash price for endoscopic sinus surgery: opening the maxillary (cheek) sinus: from $324.00 to $10,663.69, with a median of $5,493.85. The lowest listed price is at Little Falls Hospital — $5,169.85 less than the median here. Across New York, the median is $4,362.99 at 26 hospitals.

Cash prices at 2 facilities across 2 cities for code 31256, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$324.00Little Falls Hospital
Median$5,493.85half pay less
Highest$10,663.69in this market
Difference32.9×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Utica-Rome, NY.

median
Lowest $324.00Highest $10,663.69

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 CAH PR Nasal Scopy,Open Maxill Sinus $324.00 $1,200.00 $1,020.00–$960.00 73% —
source file
Mvhs Utica, NY Nasal/Sinus Endoscopy W/Maxillary Antrostomy $10,663.69 $17,772.82 $40.74–$25,311.19 40% —
source file

Outpatient: lowest $324.00, median $5,493.85, highest $10,663.69 — a 32.9× difference within the same market.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. 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.