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Procedure price report · Control of epistaxis

Nasal endoscopy to stop a nosebleed

CPT 31238the billing code this page is about

A scope is used inside the nose to find and seal the source of bleeding, such as by cauterizing or packing the bleeding vessel.

Hospitals typically charge $1,990 cash for this outpatient procedure — the median across 1,314 hospitals that filed a usable cash price; the average of the middle 60% is $2,104. Most fall between $704 and $3,893 (20th–80th percentile).

Hospitals
1,314
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,314 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$404$806$1,990$3,560$5,696

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($404 vs $5,696).

How the prices are spread

$265 – $379: 64 hospitals$265$379 – $542: 87 hospitals$542 – $775: 101 hospitals$542$775 – $1,108: 87 hospitals$1,108 – $1,584: 124 hospitals$1,108$1,584 – $2,266: 227 hospitals$2,266 – $3,240: 193 hospitals$2,266$3,240 – $4,634: 184 hospitals$4,634 – $6,627: 86 hospitals$4,634$6,627 – $9,478: 41 hospitals$6,627median $1,990price bands are equal on a log scale
Hospitals per price band (1,194 of 1,314 — the bands cover the 5th to 95th percentile)
FromToHospitals
$265$37964
$379$54287
$542$775101
$775$1,10887
$1,108$1,584124
$1,584$2,266227
$2,266$3,240193
$3,240$4,634184
$4,634$6,62786
$6,627$9,47841

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,818
Median cash price$1,990
Cash as a multiple of Medicare1.09×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,990.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,264 across 11 hospitalsME$1,264Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,127 across 33 hospitalsWA$3,127Idaho: median $1,990 across 12 hospitalsID$1,990Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,387 across 44 hospitalsMN$1,387Illinois: median $1,920 across 58 hospitalsIL$1,920Wisconsin: median $792 across 60 hospitalsWI$792Michigan: median $2,910 across 59 hospitalsMI$2,910New York: median $2,045 across 60 hospitalsNY$2,045Massachusetts: median $2,890 across 25 hospitalsMA$2,890Oregon: median $2,997 across 30 hospitalsOR$2,997Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,134 across 10 hospitalsSD$2,134Iowa: median $867 across 33 hospitalsIA$867Indiana: median $1,031 across 18 hospitalsIN$1,031Ohio: median $2,210 across 67 hospitalsOH$2,210Pennsylvania: median $2,103 across 68 hospitalsPA$2,103New Jersey: median $4,327 across 36 hospitalsNJ$4,327Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,526 across 90 hospitalsCA$3,526Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,276 across 19 hospitalsCO$1,276Nebraska: median $893 across 20 hospitalsNE$893Missouri: median $2,529 across 33 hospitalsMO$2,529Kentucky: median $602 across 11 hospitalsKY$602West Virginia: median $935 across 18 hospitalsWV$935Virginia: median $1,482 across 44 hospitalsVA$1,482Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,406 across 17 hospitalsKS$1,406Arkansas: median $1,012 across 14 hospitalsAR$1,012Tennessee: median $745 across 22 hospitalsTN$745North Carolina: median $2,793 across 34 hospitalsNC$2,793South Carolina: median $2,171 across 12 hospitalsSC$2,171Oklahoma: median $521 across 20 hospitalsOK$521Louisiana: median $1,619 across 22 hospitalsLA$1,619Mississippi: median $1,227 across 35 hospitalsMS$1,227Alabama: median $1,840 across 18 hospitalsAL$1,840Georgia: median $2,757 across 36 hospitalsGA$2,757Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,873 across 89 hospitalsTX$2,873Florida: median $3,560 across 47 hospitalsFL$3,560
Cash price by state, most expensive first. National median $1,990. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ36$4,327+117%$1,910 – $5,419
Florida FL47$3,560+79%$806 – $4,160
California CA90$3,526+77%$1,467 – $11,609
Washington WA33$3,127+57%$527 – $3,705
Oregon OR30$2,997+51%$470 – $7,346
Michigan MI59$2,910+46%$265 – $4,946
Massachusetts MA25$2,890+45%$1,102 – $3,377
Texas TX89$2,873+44%$1,755 – $3,893
North Carolina NC34$2,793+40%$1,332 – $4,355
Georgia GA36$2,757+39%$2,049 – $4,073
Missouri MO33$2,529+27%$503 – $6,384
Ohio OH67$2,210+11%$1,456 – $5,156
South Carolina SC12$2,171+9%$1,020 – $2,823
South Dakota SD10$2,134+7%$1,674 – $2,134
Pennsylvania PA68$2,103+6%$1,053 – $3,249
New York NY60$2,045+3%$698 – $3,845
Idaho ID12$1,9900%$506 – $4,755
Illinois IL58$1,920−4%$628 – $3,725
Alabama AL18$1,840−8%$706 – $9,475
Louisiana LA22$1,619−19%$1,172 – $3,200
Virginia VA44$1,482−26%$759 – $3,272
Kansas KS17$1,406−29%$179 – $2,931
Minnesota MN44$1,387−30%$461 – $1,990
Colorado CO19$1,276−36%$535 – $2,587
Maine ME11$1,264−36%$690 – $1,895
Mississippi MS35$1,227−38%$719 – $1,755
Indiana IN18$1,031−48%$375 – $7,822
Arkansas AR14$1,012−49%$597 – $1,768
West Virginia WV18$935−53%$685 – $3,149
Nebraska NE20$893−55%$337 – $1,490
Iowa IA33$867−56%$512 – $2,743
Wisconsin WI60$792−60%$466 – $2,421
Tennessee TN22$745−63%$417 – $759
Kentucky KY11$602−70%$251 – $1,851
Oklahoma OK20$521−74%$521 – $2,377
Alaska AK9not enough hospitals filed a usable price
North Dakota ND9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,990.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,055$2,169$844 – $4,157
Children’s26$2,063$752 – $5,729
Critical access229$792$386 – $2,658
Ownership
For-profit121$2,568$767 – $5,220
Government205$1,638$558 – $3,647
Non-profit984$2,031$731 – $3,792
System affiliation
Part of a system1,107$2,041$759 – $3,893
Independent207$1,588$450 – $3,456

Cash price vs list price

Median list price (chargemaster)$3,470
Median cash price$1,990
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

922 hospitals filed a usable inpatient cash price for this code. The median is $1,961 and the average of the middle 60% is $2,071; most fall between $667 and $3,693.

Cash price percentiles, inpatient, across 922 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$427$792$1,961$3,463$4,722

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($427 vs $4,722).

Of the 997 hospitals that filed this code inpatient, 922 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,314 of the 3,956 hospitals with a price file in our corpus (33%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,431 hospitals that filed this code at all gave us
Usable cash price — counted1,314
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded47
Hospitals that filed this code1,431

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Control of epistaxis family.

Hospitals file this code under descriptions such as Nasal/Sinus Ndsc Surg W/Control Nasal Hemorrhage.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Nasal endoscopy to stop a nosebleed (CPT 31238) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31238-nasal-endoscopy-to-stop-a-nosebleed