Price Checker / CPT 31253
How much does Nsl/sins Ndsc Total cost?
CPT 31253 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 92x the fair price — among the most extreme markups. Dispute this.
Fair price
$630–$1,250
What this should cost
With insurance
~$4,550
Typical out-of-pocket
Overcharged if over
$1,550
Push back above this
The average hospital charge of $86,682 is $85,742 over the fair price (about 92x the fair rate).
What hospitals charge for Nsl/sins Ndsc Total
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| AdventHealth Lenexa City Center , KS | $116,689 | $58,344 | 27671% |
| AdventHealth Overland Park , KS | $116,689 | $58,344 | 27671% |
| AdventHealth Shawnee Mission SHAWNEE MISSION, KS | $116,689 | $58,344 | 27671% |
| AdventHealth Manchester Manchester, KY | $116,689 | — | 26283% |
| AdventHealth Gordon Calhoun, GA | $117,800 | — | 25132% |
| AdventHealth Hendersonville Hendersonville, NC | $116,689 | — | 24894% |
| AdventHealth Ottawa Ottawa, KS | $116,689 | — | 24894% |
| Franciscan Health Lafayette LAFAYETTE, IN | $104,238 | $26,789 | 24708% |
| Texas Health Huguley Hospital Burleson, TX | $115,578 | — | 23198% |
| AdventHealth Murray Chatsworth, GA | $117,800 | — | 22889% |
| ST RITA'S MEDICAL CENTER Lima, OH | $94,635 | — | 14146% |
| Los Alamos Medical Center LOS ALAMOS, NY | $15,773 | — | 3654% |
| UPMC Green , PA | — | — | 3079% |
| Dardanelle Regional Medical Center Dardanelle, AR | $11,924 | — | 2738% |
| Animas Surgical Hospital , CO | $8,987 | — | 2524% |
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/sins Ndsc Total
CPT code 31253 refers to nsl/sins ndsc total (billing description: "Nsl/sins ndsc total"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $420 in a facility (hospital or surgery center) and $420 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.