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

Endoscopic sinus surgery with partial ethmoid clearance

CPT 31254the billing code this page is about

Endoscopic surgery through the nose that removes tissue from part of the ethmoid sinus on one side.

Hospitals typically charge $3,099 cash for this outpatient procedure — the median across 704 hospitals that filed a usable cash price; the average of the middle 60% is $4,178. Most fall between $770 and $9,587 (20th–80th percentile).

Hospitals
704
States
50
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 704 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
$479$911$3,099$9,188$16,362

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($479 vs $16,362).

How the prices are spread

$358 – $538: 51 hospitals$358$538 – $809: 64 hospitals$809 – $1,217: 74 hospitals$809$1,217 – $1,831: 65 hospitals$1,831 – $2,754: 45 hospitals$1,831$2,754 – $4,142: 56 hospitals$4,142 – $6,229: 53 hospitals$4,142$6,229 – $9,369: 103 hospitals$9,369 – $14,092: 77 hospitals$9,369$14,092 – $21,194: 46 hospitals$14,092median $3,099price bands are equal on a log scale
Hospitals per price band (634 of 704 — the bands cover the 5th to 95th percentile)
FromToHospitals
$358$53851
$538$80964
$809$1,21774
$1,217$1,83165
$1,831$2,75445
$2,754$4,14256
$4,142$6,22953
$6,229$9,369103
$9,369$14,09277
$14,092$21,19446

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,210
Median cash price$3,099
Cash as a multiple of Medicare0.43×

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 $3,099.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,492 across 12 hospitalsWA$3,492Idaho: median $15,175 across 11 hospitalsID$15,175Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,787 across 23 hospitalsMN$1,787Illinois: median $1,723 across 29 hospitalsIL$1,723Wisconsin: median $2,270 across 36 hospitalsWI$2,270Michigan: median $612 across 36 hospitalsMI$612New York: median $8,192 across 58 hospitalsNY$8,192Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $798 across 18 hospitalsOR$798Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,034 across 28 hospitalsIA$1,034Indiana: median $1,658 across 15 hospitalsIN$1,658Ohio: median $13,110 across 29 hospitalsOH$13,110Pennsylvania: median $10,181 across 19 hospitalsPA$10,181New Jersey: median $7,662 across 33 hospitalsNJ$7,662Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,196 across 55 hospitalsCA$4,196Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $770 across 10 hospitalsNE$770Missouri: median $7,034 across 23 hospitalsMO$7,034Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,120 across 12 hospitalsWV$1,120Virginia: median $3,426 across 11 hospitalsVA$3,426Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,288 across 10 hospitalsKS$1,288Arkansas: median $1,673 across 12 hospitalsAR$1,673Tennessee: median $479 across 10 hospitalsTN$479North Carolina: median $2,557 across 10 hospitalsNC$2,557South Carolina: median $5,966 across 10 hospitalsSC$5,966Oklahoma: median $911 across 14 hospitalsOK$911Louisiana: median $7,339 across 12 hospitalsLA$7,339Mississippi: median $1,544 across 12 hospitalsMS$1,544Alabama: median $6,000 across 11 hospitalsAL$6,000Georgia: median $6,698 across 14 hospitalsGA$6,698Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,107 across 33 hospitalsTX$5,107Florida: median $9,479 across 12 hospitalsFL$9,479
Cash price by state, most expensive first. National median $3,099. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$15,175+390%$2,818 – $17,730
Ohio OH29$13,110+323%$930 – $22,171
Pennsylvania PA19$10,181+229%$4,323 – $14,160
Florida FL12$9,479+206%$1,221 – $18,337
New York NY58$8,192+164%$1,329 – $9,188
New Jersey NJ33$7,662+147%$4,881 – $9,237
Louisiana LA12$7,339+137%$2,668 – $11,263
Missouri MO23$7,034+127%$444 – $17,129
Georgia GA14$6,698+116%$276 – $7,044
Alabama AL11$6,000+94%$1,159 – $17,067
South Carolina SC10$5,966+92%$1,804 – $14,537
Texas TX33$5,107+65%$2,559 – $10,568
California CA55$4,196+35%$2,319 – $9,587
Washington WA12$3,492+13%$486 – $8,776
Virginia VA11$3,426+11%$2,855 – $18,820
North Carolina NC10$2,557−18%$644 – $9,706
Wisconsin WI36$2,270−27%$1,633 – $3,425
Minnesota MN23$1,787−42%$584 – $2,097
Illinois IL29$1,723−44%$566 – $30,070
Arkansas AR12$1,673−46%$900 – $5,201
Indiana IN15$1,658−47%$566 – $10,858
Mississippi MS12$1,544−50%$1,360 – $9,557
Kansas KS10$1,288−58%$470 – $12,027
West Virginia WV12$1,120−64%$758 – $5,621
Iowa IA28$1,034−67%$605 – $2,630
Oklahoma OK14$911−71%$911 – $10,746
Oregon OR18$798−74%$786 – $839
Nebraska NE10$770−75%$369 – $2,350
Michigan MI36$612−80%$342 – $9,704
Tennessee TN10$479−85%$257 – $7,409
Arizona AZ8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not 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 $3,099.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care557$4,627$911 – $10,181
Children’s12fewer than 20 hospitals
Critical access133$1,178$557 – $3,180
Ownership
For-profit92$6,865$1,639 – $12,873
Government104$1,329$547 – $8,192
Non-profit506$3,099$798 – $9,587
System affiliation
Part of a system555$3,425$809 – $9,587
Independent149$1,639$613 – $8,091

Cash price vs list price

Median list price (chargemaster)$2,512
Median cash price$3,099
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

322 hospitals filed a usable inpatient cash price for this code. The median is $1,194 and the average of the middle 60% is $1,891; most fall between $560 and $6,384.

Cash price percentiles, inpatient, across 322 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
$403$612$1,194$5,107$9,587

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($403 vs $9,587).

Of the 367 hospitals that filed this code inpatient, 322 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

704 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 783 hospitals that filed this code at all gave us
Usable cash price — counted704
Cash price carrying a plausibility flag — shown on the compare tool, excluded here57
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded19
Hospitals that filed this code783

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 W/Partial Ethmoidectomy.

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 with partial ethmoid clearance (CPT 31254) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31254-endoscopic-sinus-surgery-with-partial-ethmoid-clearance