Diagnostic nasal endoscopy with sphenoid sinus exam at Methodist Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $2.2k is 9% above the median hospital's median price ($2.0k), higher than 56% of the 1,516 hospitals reporting CPT 31235. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 31235 at Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 48 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	First Health chip per diem · outpatient	$365	$365	—	—	—	$365 – $365
2	First Health chipperinate per diem · outpatient	$365	$365	—	—	—	$365 – $365
3	First Health mcdstar per diem · outpatient	$365	$365	—	—	—	$365 – $365
4	UnitedHealthcare mcd fee schedule · outpatient	$526	$526	—	—	—	$526 – $526
5	First Health mcdstarkids fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
6	First Health starplus fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
7	Molina chip fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
8	Molina mcdstar fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
9	Molina star+plus fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
10	Molina starkids fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
11	Humana mgmcd fee schedule · outpatient	$657	$657	—	—	—	$657 – $657
12	Aetna Better Health chip fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
13	Aetna Better Health chipepo fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
14	Aetna Better Health chipperinate fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
15	Aetna Better Health chpfc fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
16	Aetna Better Health star fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
17	Aetna Better Health star+plus fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
18	Aetna Better Health starkids fee schedule · outpatient	$664	$664	—	—	—	$664 – $664
19	First Health comm case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Oscar broadnetworkhix case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Oscar epo case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Oscar pos case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
23	Oscar ppo case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
24	Aetna qhphix case rate · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
25	WellCare mcrhmo fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Page 1 of 2 · 48 rates

Last updated: May 1, 2026

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