Surgery and procedures CPT 31295 Outpatient

Balloon sinuplasty, maxillary cost in Utica, NY

In Utica-Rome, NY, 2 hospitals list a cash price for balloon dilation of the maxillary sinus opening, one side: from $718.34 to $9,282.18, with a median of $5,000.26. The lowest listed price is at Little Falls Hospital — $4,281.92 less than the median here. Across New York, the median is $8,191.77 at 22 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 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$718.34Little Falls Hospital
Median$5,000.26half pay less
Highest$9,282.18in this market
Difference12.9×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 $718.34Highest $9,282.18

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 CAH PR Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus $718.34 $2,660.53 $1,526.88–$976.95 73% —
source file
Mvhs Utica, NY Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus $9,282.18 $15,470.30 $40.74–$25,311.19 40% —
source file

Outpatient: lowest $718.34, median $5,000.26, highest $9,282.18 — a 12.9× 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

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.