Surgery and procedures CPT 31295 Outpatient

Balloon sinuplasty, maxillary cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 2 hospitals list a cash price for balloon dilation of the maxillary sinus opening, one side: from $6,942.00 to $7,215.00, with a median of $7,078.50. The lowest listed price is at Lower Bucks Hospital — $136.50 less than the median here. Across Pennsylvania, the median is $12,373.90 at 8 hospitals.

Cash prices at 2 facilities across 2 cities for code 31295, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 1, 2026.

Lowest$6,942.00Lower Bucks Hospital
Median$7,078.50half pay less
Highest$7,215.00in this market
Difference1.0×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $6,942.00Highest $7,215.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Lower Bucks Hospital lowest Bristol, PA · (215) 785-9200 Hc Nasal Endo Sx,Dilat Maxillary Sinus Ostium $6,942.00 $21,814.80 $776.00–$17,451.84 68% Sep 1, 2026
source file
Roxborough Memorial Hospital Philadelphia, PA · (215) 483-9900 Hc Nasal Endo Sx,Dilat Maxillary Sinus Ostium $7,215.00 $21,814.80 $776.00–$21,160.36 67% Sep 1, 2026
source file
Roxborough Memorial Hospital Philadelphia, PA · (215) 483-9900 Hc Nasal Endo Sx,Dilat Maxillary Sinus Ostium $7,215.00 $21,814.80 $776.00–$21,160.36 67% Sep 1, 2026
source file

Outpatient: lowest $6,942.00, median $7,078.50, highest $7,215.00.

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 none is it 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

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.