Procedure price report · Other non-OR therapeutic procedures on respiratory system

Indirect exam of the voice box with a vocal cord injection

CPT code CPT 31513the billing code this page is about

The voice box is viewed indirectly and material is injected into a vocal cord to change its position or bulk.

Hospitals typically charge $460 cash for this outpatient procedure — the median across 289 hospitals that filed a usable cash price; the average of the middle 60% is $556. Most fall between $217 and $1,226 (20th–80th percentile).

Hospitals
289
States
42
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 289 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
$152$255$460$1,129$1,562

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($152 vs $1,562).

How the prices are spread

$99 – $145: 14 hospitals$99$145 – $212: 18 hospitals$212 – $309: 38 hospitals$212$309 – $451: 52 hospitals$451 – $658: 65 hospitals$451$658 – $960: 9 hospitals$960 – $1,400: 47 hospitals$960$1,400 – $2,043: 10 hospitals$2,043 – $2,981: 3 hospitals$2,043$2,981 – $4,350: 7 hospitals$2,981median $460price bands are equal on a log scale
Hospitals per price band (263 of 289 — the bands cover the 5th to 95th percentile)
FromToHospitals
$99$14514
$145$21218
$212$30938
$309$45152
$451$65865
$658$9609
$960$1,40047
$1,400$2,04310
$2,043$2,9813
$2,981$4,3507

Against Medicare

Medicare pays (OPPS 2026, national rate)$400
Median cash price$460
Cash as a multiple of Medicare1.15×

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 $460.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $216 across 13 hospitalsIL$216Wisconsin: median $530 across 16 hospitalsWI$530Michigan: median $530 across 10 hospitalsMI$530New York: median $460 across 27 hospitalsNY$460Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $323 across 14 hospitalsIA$323Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $357 across 21 hospitalsPA$357New Jersey: median $518 across 29 hospitalsNJ$518Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,226 across 42 hospitalsCA$1,226Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $216 across 12 hospitalsOK$216Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $460. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA42$1,226+167%$937 – $1,290
Michigan MI10$530+15%$261 – $538
Wisconsin WI16$530+15%$530 – $530
New Jersey NJ29$518+13%$430 – $5,419
New York NY27$4600%$408 – $1,038
Pennsylvania PA21$357−22%$84 – $462
Iowa IA14$323−30%$323 – $323
Oklahoma OK12$216−53%$216 – $216
Illinois IL13$216−53%$99 – $323
Louisiana LA9not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $460.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care241$462$233 – $1,290
Children’s9fewer than 20 hospitals
Critical access39$332$190 – $530
Ownership
For-profit20$344$99 – $656
Government44$390$234 – $674
Non-profit225$472$216 – $1,226
System affiliation
Part of a system242$462$216 – $1,290
Independent47$380$227 – $564

Cash price vs list price

Median list price (chargemaster)$735
Median cash price$460
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

179 hospitals filed a usable inpatient cash price for this code. The median is $530 and the average of the middle 60% is $631; most fall between $232 and $1,226.

Cash price percentiles, inpatient, across 179 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
$164$294$530$1,226$1,290

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($164 vs $1,290).

Of the 193 hospitals that filed this code inpatient, 179 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

289 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 319 hospitals that filed this code at all gave us
Usable cash price — counted289
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code319

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 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as Laryngoscopy Indirect W/Vocal Cord Injection.

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 vocal cord injection (CPT 31513) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31513-indirect-exam-of-the-voice-box-with-a-vocal-cord-injection