Price Checker / CPT 31237

How much does Nsl/sins Ndsc Surgery Bx Polypc cost?

CPT 31237 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 15x the fair price — among the most extreme markups. Dispute this.

Fair price

$400–$800

What this should cost

With insurance

~$2,450

Typical out-of-pocket

Overcharged if over

$1,000

Push back above this

The average hospital charge of $9,237 is $8,637 over the fair price (about 15x the fair rate).

What hospitals charge for Nsl/sins Ndsc Surgery Bx Polypc

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Los Alamos Medical Center

LOS ALAMOS, NY

$15,7735818%
Edgerton Hospital and Health Services

EDGERTON, WI

$2,700$1,971913%

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About Nsl/sins Ndsc Surgery Bx Polypc

CPT code 31237 refers to nsl/sins ndsc surgery bx polypc (billing description: "Nsl/sins ndsc surg bx polypc"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $138 in a facility (hospital or surgery center) and $267 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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