Price Checker / CPT 31242
How much does Nsl/sinus Ndsc Rf Abltj Pnn cost?
CPT 31242 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.8x the fair price. You have grounds to ask for a reduction.
Fair price
$4,700–$5,550
What this should cost
With insurance
~$3,800
Typical out-of-pocket
Overcharged if over
$6,950
Push back above this
The average hospital charge of $14,180 is $9,030 over the fair price (about 2.8x the fair rate).
What hospitals charge for Nsl/sinus Ndsc Rf Abltj Pnn
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| National Jewish Health DENVER, CO | $14,180 | — | 433% |
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 Nsl/sinus Ndsc Rf Abltj Pnn
CPT code 31242 refers to nsl/sinus ndsc rf abltj pnn (billing description: "Nsl/sinus ndsc rf abltj pnn"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $135 in a facility (hospital or surgery center) and $2,396 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.