CPT 31000 Surgery - Respiratory
Irrigation maxillary sinus Cost
Body System: Respiratory
Medicare Facility Rate
$102
CMS PFS CY2026
Medicare Non-Facility Rate
$188
Office/clinic setting
Hospital Outpatient
$242
OPPS rate
Surgery Center (ASC)
$130
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.17
Work RVU
1.73
Facility PE RVU
0.16
Malpractice RVU
5.63
Total RVU
Frequently Asked Questions
How much does Irrigation maxillary sinus cost?
The Medicare facility rate is $102. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $242. Ambulatory surgery center rate: $130.
How much does Irrigation maxillary sinus cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $102.