CPT 31233 Surgery - Respiratory
Nsl/sins ndsc dx max sinusc Cost
Body System: Respiratory
Medicare Facility Rate
$117
CMS PFS CY2026
Medicare Non-Facility Rate
$273
Office/clinic setting
Hospital Outpatient
$400
OPPS rate
Surgery Center (ASC)
$215
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.13
Work RVU
1.08
Facility PE RVU
0.30
Malpractice RVU
8.16
Total RVU
Frequently Asked Questions
How much does Nsl/sins ndsc dx max sinusc cost?
The Medicare facility rate is $117. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $400. Ambulatory surgery center rate: $215.
How much does Nsl/sins ndsc dx max sinusc 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 $117.