Surgery and procedures CPT 31295 Outpatient

Balloon sinuplasty, maxillary cost in Pittsburgh, PA

In Pittsburgh, PA, 1 hospital lists a cash price for balloon dilation of the maxillary sinus opening, one side: from $30,492.00 to $30,492.00, with a median of $30,492.00. Across Pennsylvania, the median is $12,373.90 at 8 hospitals.

Cash prices at 1 facility for code 31295, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 6, 2026 and Mar 6, 2026.

Lowest$30,492.00UPMC Presbyterian
Median$30,492.00half pay less
Highest$30,492.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 NSL/SINS NDSC SURG MAX SINS $30,492.00 $50,820.00 $594.00–$43,197.00 40% Mar 6, 2026
source file

Outpatient: lowest $30,492.00, median $30,492.00, highest $30,492.00.

As an inpatient, the same code is billed by 1 facility here, median $30,492.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.

7 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 31295 ($4,424.84). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Jefferson Regional Medical Center Jefferson Hills, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $83.98 file
Forbes Hospital Monroeville, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $97.24 file
Canonsburg General Hospital Canonsburg, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $97.24 file
Alle-Kiski Medical Center Natrona Heights, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $101.66 file
West Penn Hospital Pittsburgh, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $106.08 file
AHN Wexford Hospital Wexford, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $114.92 file
West Penn Hospital Pittsburgh, PAPR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS $119.34 file