Procedure price report · Tracheoscopy and laryngoscopy with biopsy

Indirect exam of the voice box with a mirror or scope

CPT code CPT 31505the billing code this page is about

The throat and voice box are viewed indirectly, without instruments placed into the larynx, for diagnosis only.

Hospitals typically charge $221 cash for this outpatient procedure — the median across 1,448 hospitals that filed a usable cash price; the average of the middle 60% is $240. Most fall between $113 and $462 (20th–80th percentile).

Hospitals
1,448
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 1,448 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
$81$132$221$394$637

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($81 vs $637).

How the prices are spread

$60 – $79: 65 hospitals$60$79 – $102: 89 hospitals$102 – $133: 151 hospitals$102$133 – $173: 153 hospitals$173 – $226: 204 hospitals$173$226 – $294: 200 hospitals$294 – $383: 142 hospitals$294$383 – $499: 133 hospitals$499 – $650: 102 hospitals$499$650 – $846: 68 hospitals$650median $221price bands are equal on a log scale
Hospitals per price band (1,307 of 1,448 — the bands cover the 5th to 95th percentile)
FromToHospitals
$60$7965
$79$10289
$102$133151
$133$173153
$173$226204
$226$294200
$294$383142
$383$499133
$499$650102
$650$84668

Against Medicare

Medicare pays (OPPS 2026, national rate)$204
Median cash price$221
Cash as a multiple of Medicare1.08×

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 $221.

Alaska: median $495 across 11 hospitalsAK$495Maine: median $175 across 17 hospitalsME$175Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $94 across 14 hospitalsNH$94Washington: median $209 across 46 hospitalsWA$209Idaho: median $288 across 10 hospitalsID$288Montana: median $191 across 13 hospitalsMT$191North Dakota: median $210 across 11 hospitalsND$210Minnesota: median $235 across 52 hospitalsMN$235Illinois: median $239 across 63 hospitalsIL$239Wisconsin: median $200 across 40 hospitalsWI$200Michigan: median $122 across 41 hospitalsMI$122New York: median $230 across 64 hospitalsNY$230Massachusetts: median $332 across 36 hospitalsMA$332Oregon: median $185 across 39 hospitalsOR$185Nevada: median $340 across 11 hospitalsNV$340Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $160 across 35 hospitalsIA$160Indiana: median $112 across 31 hospitalsIN$112Ohio: median $491 across 64 hospitalsOH$491Pennsylvania: median $236 across 68 hospitalsPA$236New Jersey: median $600 across 44 hospitalsNJ$600Connecticut: median $186 across 11 hospitalsCT$186Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $395 across 100 hospitalsCA$395Utah: median $262 across 21 hospitalsUT$262Colorado: median $213 across 40 hospitalsCO$213Nebraska: median $142 across 23 hospitalsNE$142Missouri: median $177 across 36 hospitalsMO$177Kentucky: median $204 across 27 hospitalsKY$204West Virginia: median $230 across 21 hospitalsWV$230Virginia: median $159 across 25 hospitalsVA$159Maryland: 4 hospitals 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: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $150 across 23 hospitalsKS$150Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $155 across 22 hospitalsTN$155North Carolina: median $94 across 23 hospitalsNC$94South Carolina: median $268 across 30 hospitalsSC$268Oklahoma: median $74 across 27 hospitalsOK$74Louisiana: median $100 across 26 hospitalsLA$100Mississippi: median $96 across 20 hospitalsMS$96Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $205 across 33 hospitalsGA$205Hawaii: median $342 across 12 hospitalsHI$342Texas: median $188 across 107 hospitalsTX$188Florida: median $296 across 44 hospitalsFL$296
Cash price by state, most expensive first. National median $221. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ44$600+172%$215 – $4,881
Alaska AK11$495+124%$236 – $669
Ohio OH64$491+123%$221 – $593
California CA100$395+79%$210 – $767
Hawaii HI12$342+55%$101 – $527
Nevada NV11$340+54%$217 – $466
Massachusetts MA36$332+51%$156 – $588
Florida FL44$296+34%$139 – $637
Idaho ID10$288+31%$110 – $543
South Carolina SC30$268+22%$157 – $352
Utah UT21$262+19%$262 – $328
Illinois IL63$239+8%$112 – $424
Pennsylvania PA68$236+7%$110 – $564
Minnesota MN52$235+7%$132 – $248
New York NY64$230+4%$133 – $605
West Virginia WV21$230+4%$106 – $338
Colorado CO40$213−3%$146 – $316
North Dakota ND11$210−5%$153 – $361
Washington WA46$209−5%$119 – $422
Georgia GA33$205−7%$167 – $478
Kentucky KY27$204−7%$97 – $466
Wisconsin WI40$200−10%$123 – $345
Montana MT13$191−13%$79 – $265
Texas TX107$188−15%$113 – $326
Connecticut CT11$186−16%$178 – $352
Oregon OR39$185−16%$145 – $337
Missouri MO36$177−20%$121 – $283
Maine ME17$175−21%$103 – $213
Iowa IA35$160−27%$124 – $213
Virginia VA25$159−28%$105 – $297
Tennessee TN22$155−30%$115 – $187
Kansas KS23$150−32%$88 – $302
Nebraska NE23$142−36%$96 – $189
Michigan MI41$122−45%$60 – $334
Indiana IN31$112−49%$79 – $466
Louisiana LA26$100−55%$73 – $300
Mississippi MS20$96−57%$65 – $165
North Carolina NC23$94−57%$94 – $150
New Hampshire NH14$94−57%$38 – $247
Oklahoma OK27$74−67%$49 – $353
Alabama AL9not enough hospitals filed a usable price
Rhode Island RI9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Delaware DE1not 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 $221.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,098$232$120 – $491
Children’s19fewer than 20 hospitals
Critical access327$192$103 – $308
Ownership
For-profit129$255$130 – $583
Government249$192$99 – $370
Non-profit1,066$230$114 – $462
System affiliation
Part of a system1,171$230$113 – $466
Independent277$207$107 – $388

Cash price vs list price

Median list price (chargemaster)$383
Median cash price$221
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

1,100 hospitals filed a usable inpatient cash price for this code. The median is $236 and the average of the middle 60% is $257; most fall between $120 and $485.

Cash price percentiles, inpatient, across 1,100 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
$90$140$236$421$637

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($90 vs $637).

Of the 1,182 hospitals that filed this code inpatient, 1,100 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 54 a list price only.

How complete is this

1,448 of the 3,956 hospitals with a price file in our corpus (37%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,566 hospitals that filed this code at all gave us
Usable cash price — counted1,448
Cash price carrying a plausibility flag — shown on the compare tool, excluded here58
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded60
Hospitals that filed this code1,566

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.

Hospitals file this code under descriptions such as PR Laryngoscopy,Indirect,Dx.

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, “Indirect exam of the voice box with a mirror or scope (CPT 31505) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31505-indirect-exam-of-the-voice-box-with-a-mirror-or-scope