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Procedure price report · Tracheoscopy and laryngoscopy with biopsy

Voice box exam with flexible scope and biopsy

CPT 31576the billing code this page is about

A flexible scope is used to view the larynx and vocal cords, and a tissue sample is taken for testing.

Hospitals typically charge $2,041 cash for this outpatient procedure — the median across 737 hospitals that filed a usable cash price; the average of the middle 60% is $2,138. Most fall between $535 and $3,791 (20th–80th percentile).

Hospitals
737
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 737 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
$332$779$2,041$3,546$5,156

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($332 vs $5,156).

How the prices are spread

$246 – $340: 40 hospitals$246$340 – $469: 56 hospitals$469 – $648: 28 hospitals$469$648 – $895: 32 hospitals$895 – $1,236: 46 hospitals$895$1,236 – $1,707: 66 hospitals$1,707 – $2,357: 126 hospitals$1,707$2,357 – $3,256: 72 hospitals$3,256 – $4,497: 128 hospitals$3,256$4,497 – $6,210: 75 hospitals$4,497median $2,041price bands are equal on a log scale
Hospitals per price band (669 of 737 — the bands cover the 5th to 95th percentile)
FromToHospitals
$246$34040
$340$46956
$469$64828
$648$89532
$895$1,23646
$1,236$1,70766
$1,707$2,357126
$2,357$3,25672
$3,256$4,497128
$4,497$6,21075

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,818
Median cash price$2,041
Cash as a multiple of Medicare1.12×

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 $2,041.

Alaska: 6 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,158 across 22 hospitalsWA$3,158Idaho: median $3,828 across 10 hospitalsID$3,828Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,198 across 15 hospitalsMN$1,198Illinois: median $1,432 across 31 hospitalsIL$1,432Wisconsin: median $1,357 across 35 hospitalsWI$1,357Michigan: median $434 across 37 hospitalsMI$434New York: median $2,041 across 39 hospitalsNY$2,041Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,997 across 19 hospitalsOR$2,997Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $655 across 20 hospitalsIA$655Indiana: median $1,299 across 22 hospitalsIN$1,299Ohio: median $5,204 across 25 hospitalsOH$5,204Pennsylvania: median $2,568 across 31 hospitalsPA$2,568New Jersey: median $2,301 across 36 hospitalsNJ$2,301Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,791 across 68 hospitalsCA$3,791Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $298 across 10 hospitalsKY$298West Virginia: median $2,037 across 14 hospitalsWV$2,037Virginia: median $1,892 across 22 hospitalsVA$1,892Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,404 across 11 hospitalsTN$1,404North Carolina: median $3,298 across 17 hospitalsNC$3,298South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $197 across 17 hospitalsOK$197Louisiana: median $1,931 across 18 hospitalsLA$1,931Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,341 across 19 hospitalsGA$2,341Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,905 across 56 hospitalsTX$2,905Florida: median $3,521 across 29 hospitalsFL$3,521
Cash price by state, most expensive first. National median $2,041. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH25$5,204+155%$398 – $8,027
Idaho ID10$3,828+88%$1,303 – $4,755
California CA68$3,791+86%$1,584 – $5,225
Florida FL29$3,521+73%$2,215 – $3,768
North Carolina NC17$3,298+62%$1,144 – $3,298
Washington WA22$3,158+55%$1,546 – $3,877
Oregon OR19$2,997+47%$487 – $6,210
Texas TX56$2,905+42%$1,196 – $3,336
Pennsylvania PA31$2,568+26%$1,819 – $4,593
Georgia GA19$2,341+15%$2,341 – $3,007
New Jersey NJ36$2,301+13%$1,910 – $5,110
New York NY39$2,0410%$382 – $3,731
West Virginia WV14$2,0370%$391 – $2,046
Louisiana LA18$1,931−5%$1,022 – $3,200
Virginia VA22$1,892−7%$1,892 – $4,553
Illinois IL31$1,432−30%$637 – $4,040
Tennessee TN11$1,404−31%$273 – $1,404
Wisconsin WI35$1,357−34%$391 – $1,502
Indiana IN22$1,299−36%$298 – $2,048
Minnesota MN15$1,198−41%$448 – $1,198
Iowa IA20$655−68%$634 – $688
Michigan MI37$434−79%$332 – $4,351
Kentucky KY10$298−85%$235 – $6,924
Oklahoma OK17$197−90%$197 – $2,372
Missouri MO9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
North Dakota ND1not 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 $2,041.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care615$2,148$655 – $3,828
Children’s12fewer than 20 hospitals
Critical access109$1,307$398 – $3,391
Ownership
For-profit63$2,341$398 – $3,828
Government106$1,615$433 – $3,117
Non-profit567$2,047$633 – $3,975
System affiliation
Part of a system637$2,103$655 – $3,877
Independent100$965$350 – $2,262

Cash price vs list price

Median list price (chargemaster)$3,756
Median cash price$2,041
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

513 hospitals filed a usable inpatient cash price for this code. The median is $2,242 and the average of the middle 60% is $2,222; most fall between $448 and $3,791.

Cash price percentiles, inpatient, across 513 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
$283$655$2,242$3,666$5,204

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($283 vs $5,204).

Of the 554 hospitals that filed this code inpatient, 513 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

737 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 810 hospitals that filed this code at all gave us
Usable cash price — counted737
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 — excluded15
Hospitals that filed this code810

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 Tracheoscopy and laryngoscopy with biopsy family.

Hospitals file this code under descriptions such as PR Laryngoscopy,Flex Scope,Biopsy.

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, “Voice box exam with flexible scope and biopsy (CPT 31576) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31576-voice-box-exam-with-flexible-scope-and-biopsy