Price Checker / CPT 31200
How much does Removal Of Ethmoid Sinus cost?
CPT 31200 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 7x the fair price. This is well above fair — push back or dispute it.
Fair price
$880–$1,750
What this should cost
With insurance
~$3,500
Typical out-of-pocket
Overcharged if over
$2,200
Push back above this
The average hospital charge of $9,140 is $7,840 over the fair price (about 7x the fair rate).
What hospitals charge for Removal Of Ethmoid Sinus
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Wills Eye Hospital Philadelphia, PA | $9,140 | — | 1221% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Removal Of Ethmoid Sinus
CPT code 31200 refers to removal of ethmoid sinus (billing description: "Removal of ethmoid sinus"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $584 in a facility (hospital or surgery center) and $584 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.