Price Checker / CPT 31257
How much does Nsl/sins Ndsc Tot W/sphendt cost?
CPT 31257 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 65x the fair price — among the most extreme markups. Dispute this.
Fair price
$560–$1,150
What this should cost
With insurance
~$4,200
Typical out-of-pocket
Overcharged if over
$1,450
Push back above this
The average hospital charge of $56,265 is $55,405 over the fair price (about 65x the fair rate).
What hospitals charge for Nsl/sins Ndsc Tot W/sphendt
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ST RITA'S MEDICAL CENTER Lima, OH | $114,008 | — | 19984% |
| Northern Light Maine Coast Hospital Ellsworth, ME | $56,866 | — | 13125% |
| KINGS MILLS HOSPITAL Mason, OH | $45,405 | — | 8581% |
| Animas Surgical Hospital , CO | $8,782 | — | 2839% |
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 Tot W/sphendt
CPT code 31257 refers to nsl/sins ndsc tot w/sphendt (billing description: "Nsl/sins ndsc tot w/sphendt"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $375 in a facility (hospital or surgery center) and $375 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.