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CPT 31296

Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus

Reported by 43 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$8.5k

Median

$7.3k

High

$20.8k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalIL 60190, IL—$11.2k$11.2k——
2Northwestern Medicine Delnor HospitalGeneva, IL$893$13.8k$11.9k$2.9k$2.9k
3Northwestern Lake Forest HospitalLake Forest, IL$7.9k$6.4k$6.4k$8.8k—
4VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$7.2k—
5VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$7.2k—
6Jefferson County HMA LLCJefferson City, TN$663$6.4k$5.1k$60.9k$3.8k
7Metro Knoxville HMA LLCPowell, TN$865$7.2k$8.9k$34.8k$8.3k
8Triad of Alabama LLCAL 36305, AL$373$6.8k$15.4k$133.4k$31.2k
9Affinity Hospital LLCBirmingham, AL$441$3.5k$4.4k$150.8k$2.4k
10Foley Hospital Company LLCFoley, AL$1.0k$6.7k$6.7k$24.5k$2.9k
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