Price Checker / CPT 31259
How much does Nsl/sins Ndsc Sphn Tiss Rmvl cost?
CPT 31259 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 90x the fair price — among the most extreme markups. Dispute this.
Fair price
$600–$1,200
What this should cost
With insurance
~$4,250
Typical out-of-pocket
Overcharged if over
$1,500
Push back above this
The average hospital charge of $81,401 is $80,501 over the fair price (about 90x the fair rate).
What hospitals charge for Nsl/sins Ndsc Sphn Tiss Rmvl
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ER OF BROOKSIDE , MO | — | — | 45800% |
| RESEARCH MEDICAL CENTER KANSAS CITY, MO | — | — | 45800% |
| RESEARCH PSYCHIATRIC CENTER , MO | — | — | 45800% |
| Franciscan Health Lafayette LAFAYETTE, IN | $114,131 | $29,332 | 28638% |
| The Christ Hospital Inpatient Psychiatry , OH | $50,087 | $20,788 | 12512% |
| The Christ Hospital Inpatient Rehab , OH | $50,087 | $20,788 | 12512% |
| The Christ Hospital Liberty , OH | $50,087 | $20,788 | 12512% |
| The Christ Hospital , OH | $50,087 | $20,788 | 12512% |
| UPMC Green , PA | — | — | 3263% |
| Dardanelle Regional Medical Center Dardanelle, AR | $11,924 | — | 2902% |
| Animas Surgical Hospital , CO | $8,782 | — | 2676% |
Were you billed for this procedure?
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About Nsl/sins Ndsc Sphn Tiss Rmvl
CPT code 31259 refers to nsl/sins ndsc sphn tiss rmvl (billing description: "Nsl/sins ndsc sphn tiss rmvl"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $397 in a facility (hospital or surgery center) and $397 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.