CPT 31257 Surgery - Respiratory
Nsl/sins ndsc tot w/sphendt Cost
Body System: Respiratory
Medicare Facility Rate
$375
CMS PFS CY2026
Medicare Non-Facility Rate
$375
Office/clinic setting
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$2
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
7.80
Work RVU
2.29
Facility PE RVU
1.14
Malpractice RVU
11.23
Total RVU
Frequently Asked Questions
How much does Nsl/sins ndsc tot w/sphendt cost?
The Medicare facility rate is $375. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $2.
How much does Nsl/sins ndsc tot w/sphendt 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 $375.