Sinus surgery with balloon dilation of sphenoid opening at St Luke's 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

PR NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $345 is 95% below the median hospital's median price ($6.7k), higher than 9% of the 1,559 hospitals reporting CPT 31297. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 31297 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 22 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	Aetna medicare advantage fee schedule · both	$129	$129	—	—	—	$129 – $129
2	Molina medicare advantage fee schedule · both	$132	$132	—	—	—	$132 – $132
3	Wellmark medicare advantage fee schedule · both	$132	$132	—	—	—	$132 – $132
4	Humana medicare advantage fee schedule · both	$136	$136	—	—	—	$136 – $136
5	UnitedHealthcare medicare advantage fee schedule · both	$136	$136	—	—	—	$136 – $136
6	Wellmark commercial fee schedule · both	$266	$266	—	—	—	$266 – $266
7	Wellmark hmo fee schedule · both	$266	$266	—	—	—	$266 – $266
8	Wellmark ppo fee schedule · both	$313	$313	—	—	—	$313 – $313
9	Cigna commercial fee schedule · both	$345	$345	—	—	—	$345 – $345
10	Aetna hmo fee schedule · both	$363	$363	—	—	—	$363 – $363
11	Aetna ppo fee schedule · both	$442	$442	—	—	—	$442 – $442
12	UnitedHealthcare hmo fee schedule · both	$446	$446	—	—	—	$446 – $446
13	UnitedHealthcare ppo fee schedule · both	$446	$446	—	—	—	$446 – $446
14	Aetna medicare advantage case rate · outpatient	$6.5k	$6.5k	—	—	—	$6.5k – $6.5k
15	Molina medicare advantage case rate · outpatient	$6.5k	$6.5k	—	—	—	$6.5k – $6.5k
16	Wellmark medicare advantage case rate · outpatient	$6.5k	$6.5k	—	—	—	$6.5k – $6.5k
17	Humana medicare advantage case rate · outpatient	$6.7k	$6.7k	—	—	—	$6.7k – $6.7k
18	UnitedHealthcare medicare advantage case rate · outpatient	$6.7k	$6.7k	—	—	—	$6.7k – $6.7k
19	Aetna hmo fee schedule · outpatient	$13.5k	$13.5k	—	—	—	$13.5k – $13.5k
20	Aetna ppo fee schedule · outpatient	$14.1k	$14.1k	—	—	—	$14.1k – $14.1k
21	UnitedHealthcare hmo fee schedule · outpatient	$17.2k	$17.2k	—	—	—	$17.2k – $17.2k
22	UnitedHealthcare ppo fee schedule · outpatient	$17.2k	$17.2k	—	—	—	$17.2k – $17.2k

Last updated: Jan 28, 2026

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