CPT 31296 Surgery - Respiratory
Nsl/sins ndsc surg frnt sins Cost
Body System: Respiratory
Medicare Facility Rate
$152
CMS PFS CY2026
Medicare Non-Facility Rate
$1,603
Office/clinic setting
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$1
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.02
Work RVU
1.11
Facility PE RVU
0.43
Malpractice RVU
48.00
Total RVU
Frequently Asked Questions
How much does Nsl/sins ndsc surg frnt sins cost?
The Medicare facility rate is $152. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $1.
How much does Nsl/sins ndsc surg frnt sins 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 $152.