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Procedure price report · Other OR therapeutic procedures on nose, mouth and pharynx

Endoscopic sinus surgery on all sinuses with frontal opening

CPT 31253the billing code this page is about

Endoscopic surgery on one side that clears the front and back ethmoid sinuses and opens the frontal sinus.

Hospitals typically charge $3,762 cash for this outpatient procedure — the median across 608 hospitals that filed a usable cash price; the average of the middle 60% is $4,680. Most fall between $1,056 and $9,704 (20th–80th percentile).

Hospitals
608
States
49
Filings dated
Mar 2023 – 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 608 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
$757$1,250$3,762$9,400$17,277

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($757 vs $17,277).

How the prices are spread

$584 – $861: 58 hospitals$584$861 – $1,268: 80 hospitals$1,268 – $1,868: 43 hospitals$1,268$1,868 – $2,752: 49 hospitals$2,752 – $4,055: 54 hospitals$2,752$4,055 – $5,973: 43 hospitals$5,973 – $8,800: 79 hospitals$5,973$8,800 – $12,965: 85 hospitals$12,965 – $19,100: 40 hospitals$12,965$19,100 – $28,138: 21 hospitals$19,100median $3,762price bands are equal on a log scale
Hospitals per price band (552 of 608 — the bands cover the 5th to 95th percentile)
FromToHospitals
$584$86158
$861$1,26880
$1,268$1,86843
$1,868$2,75249
$2,752$4,05554
$4,055$5,97343
$5,973$8,80079
$8,800$12,96585
$12,965$19,10040
$19,100$28,13821

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,210
Median cash price$3,762
Cash as a multiple of Medicare0.52×

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 $3,762.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $17,730 across 11 hospitalsID$17,730Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,696 across 21 hospitalsMN$2,696Illinois: median $1,432 across 24 hospitalsIL$1,432Wisconsin: median $3,330 across 31 hospitalsWI$3,330Michigan: median $840 across 32 hospitalsMI$840New York: median $8,192 across 52 hospitalsNY$8,192Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $907 across 12 hospitalsOR$907Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,250 across 24 hospitalsIA$1,250Indiana: median $7,555 across 13 hospitalsIN$7,555Ohio: median $2,574 across 23 hospitalsOH$2,574Pennsylvania: median $10,181 across 16 hospitalsPA$10,181New Jersey: median $7,565 across 32 hospitalsNJ$7,565Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,473 across 51 hospitalsCA$5,473Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,702 across 13 hospitalsMO$1,702Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $6,622 across 10 hospitalsSC$6,622Oklahoma: median $1,056 across 14 hospitalsOK$1,056Louisiana: median $4,317 across 13 hospitalsLA$4,317Mississippi: median $1,544 across 12 hospitalsMS$1,544Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $9,445 across 12 hospitalsGA$9,445Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,129 across 33 hospitalsTX$6,129Florida: median $12,284 across 13 hospitalsFL$12,284
Cash price by state, most expensive first. National median $3,762. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$17,730+371%$7,605 – $17,730
Florida FL13$12,284+226%$2,574 – $18,906
Pennsylvania PA16$10,181+171%$4,323 – $14,160
Georgia GA12$9,445+151%$7,796 – $19,590
New York NY52$8,192+118%$1,027 – $9,188
New Jersey NJ32$7,565+101%$5,039 – $9,237
Indiana IN13$7,555+101%$614 – $14,422
South Carolina SC10$6,622+76%$2,231 – $10,680
Texas TX33$6,129+63%$6,129 – $15,417
California CA51$5,473+45%$3,099 – $9,615
Louisiana LA13$4,317+15%$3,676 – $6,679
Wisconsin WI31$3,330−11%$2,327 – $7,290
Minnesota MN21$2,696−28%$1,198 – $3,268
Ohio OH23$2,574−32%$979 – $26,225
Missouri MO13$1,702−55%$824 – $17,062
Mississippi MS12$1,544−59%$1,034 – $10,085
Illinois IL24$1,432−62%$766 – $42,715
Iowa IA24$1,250−67%$1,250 – $1,588
Oklahoma OK14$1,056−72%$1,056 – $11,852
Oregon OR12$907−76%$907 – $1,500
Michigan MI32$840−78%$584 – $9,704
Alabama AL9not enough hospitals filed a usable price
Arkansas AR9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
South Dakota SD1not 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 $3,762.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care495$5,192$1,138 – $10,470
Children’s9fewer than 20 hospitals
Critical access103$1,500$945 – $5,923
Ownership
For-profit79$9,032$2,312 – $18,796
Government88$1,702$890 – $8,258
Non-profit440$3,564$1,056 – $9,615
System affiliation
Part of a system493$4,323$1,119 – $9,899
Independent115$1,702$876 – $8,791

Cash price vs list price

Median list price (chargemaster)$3,700
Median cash price$3,762
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

290 hospitals filed a usable inpatient cash price for this code. The median is $2,327 and the average of the middle 60% is $2,867; most fall between $886 and $9,400.

Cash price percentiles, inpatient, across 290 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
$614$1,026$2,327$6,129$9,899

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($614 vs $9,899).

Of the 327 hospitals that filed this code inpatient, 290 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

608 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 674 hospitals that filed this code at all gave us
Usable cash price — counted608
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded11
Hospitals that filed this code674

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 Other OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl.

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, “Endoscopic sinus surgery on all sinuses with frontal opening (CPT 31253) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31253-endoscopic-sinus-surgery-on-all-sinuses-with-frontal-opening