Surgery and procedures CPT 31295 Inpatient — admitted to hospital

Balloon sinuplasty, maxillary cost in Madison, WI — inpatient

In Madison, WI, 2 hospitals list a cash price for balloon dilation of the maxillary sinus opening, one side as an inpatient: from $654.55 to $3,764.00, with a median of $2,209.28. The lowest listed price is at Aspirus Divine Savior Hospital — $1,554.73 less than the median here. Across Wisconsin, the median is $1,917.59 at 28 hospitals.

Cash prices at 2 facilities across 2 cities for code 31295, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.

Lowest$654.55Aspirus Divine Savior Hospital
Median$2,209.28half pay less
Highest$3,764.00in this market
Difference5.8×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 Madison, WI.

median
Lowest $654.55Highest $7,855.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aspirus Divine Savior Hospital lowest Portage, WI · (608) 742-4131 Fac Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus $654.55 $1,007.00 — 35% Apr 1, 2026
source file
UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $3,764.00 $4,705.00 $142.59–$4,469.75 20% Jan 28, 2026
source file
Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $7,855.90 $12,086.00 — 35% Apr 1, 2026
source file

Inpatient: lowest $654.55, median $2,209.28, highest $3,764.00 — a 5.8× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $2,209.28 — 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 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

In this endoscopic procedure a small balloon is passed through the nose and inflated to widen the natural opening of the maxillary (cheek) sinus. It is used for chronic or repeated sinusitis that does not improve with medicine.

What the price covers

The listed price usually covers the procedure for one side; the balloon device may be listed as a separate supply. The surgeon and any anesthesia are billed separately.