Price Checker / CPT 31254
How much does Nsl/sins Ndsc W/prtl Ethmdct cost?
CPT 31254 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 22x the fair price — among the most extreme markups. Dispute this.
Fair price
$650–$1,300
What this should cost
With insurance
~$3,850
Typical out-of-pocket
Overcharged if over
$1,650
Push back above this
The average hospital charge of $21,856 is $20,876 over the fair price (about 22x the fair rate).
What hospitals charge for Nsl/sins Ndsc W/prtl Ethmdct
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Lafayette LAFAYETTE, IN | $64,379 | $16,545 | 14647% |
| Los Alamos Medical Center LOS ALAMOS, NY | $17,248 | — | 3851% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $15,443 | — | 3084% |
| UPMC Green , PA | — | — | 2960% |
| Dardanelle Regional Medical Center Dardanelle, AR | $11,924 | — | 2631% |
| Animas Surgical Hospital , CO | $8,782 | — | 2425% |
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 W/prtl Ethmdct
CPT code 31254 refers to nsl/sins ndsc w/prtl ethmdct (billing description: "Nsl/sins ndsc w/prtl ethmdct"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $206 in a facility (hospital or surgery center) and $437 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.