Control of bleeding of nose using an endoscope
Medicare pricing data for 4,922 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Control of bleeding of nose using an endoscope (HCPCS code 31238) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $253.59, but hospitals typically charge $954.24 — a 3.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $253.59, your out-of-pocket cost would be approximately $50.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $195.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $306 | $1,360 | 288 | 2,039 | +20.8% |
| Alaska | $296 | $3,895 | 11 | 16 | +16.6% |
| District of Columbia | $292 | $691 | 7 | 20 | +15.2% |
| New Jersey | $281 | $1,216 | 152 | 806 | +11.0% |
| California | $276 | $1,049 | 361 | 1,633 | +9.0% |
| Maryland | $274 | $963 | 98 | 650 | +8.1% |
| Rhode Island | $270 | $727 | 7 | 36 | +6.4% |
| Hawaii | $269 | $733 | 7 | 27 | +6.1% |
| Wyoming | $267 | $1,568 | 18 | 28 | +5.3% |
| Delaware | $263 | $613 | 6 | 15 | +3.9% |
| Washington | $263 | $955 | 122 | 508 | +3.7% |
| Connecticut | $262 | $1,236 | 52 | 170 | +3.4% |
| Massachusetts | $260 | $1,003 | 128 | 507 | +2.6% |
| Florida | $260 | $721 | 411 | 2,613 | +2.6% |
| Colorado | $260 | $1,031 | 89 | 379 | +2.5% |
| Puerto Rico | $258 | $311 | 12 | 21 | +1.8% |
| Nevada | $253 | $989 | 14 | 100 | -0.2% |
| Illinois | $249 | $1,038 | 190 | 1,022 | -1.8% |
| Virginia | $247 | $787 | 133 | 459 | -2.6% |
| Pennsylvania | $247 | $823 | 275 | 1,588 | -2.6% |
| Texas | $245 | $913 | 363 | 1,403 | -3.5% |
| Montana | $242 | $665 | 9 | 38 | -4.7% |
| Minnesota | $241 | $1,218 | 62 | 140 | -5.1% |
| Indiana | $240 | $1,207 | 104 | 307 | -5.2% |
| South Carolina | $239 | $786 | 120 | 537 | -5.6% |
| Alabama | $239 | $998 | 91 | 309 | -5.9% |
| Michigan | $238 | $738 | 105 | 268 | -6.1% |
| New Mexico | $238 | $1,426 | 23 | 51 | -6.2% |
| Kentucky | $237 | $583 | 68 | 198 | -6.7% |
| South Dakota | $236 | $810 | 10 | 29 | -6.8% |
| Georgia | $236 | $1,018 | 192 | 669 | -7.0% |
| Arizona | $235 | $625 | 103 | 531 | -7.3% |
| North Carolina | $233 | $902 | 150 | 606 | -8.3% |
| Tennessee | $231 | $897 | 111 | 339 | -8.9% |
| Idaho | $231 | $817 | 23 | 92 | -9.1% |
| Iowa | $230 | $991 | 69 | 248 | -9.2% |
| Louisiana | $229 | $1,042 | 108 | 386 | -9.5% |
| Kansas | $227 | $847 | 84 | 426 | -10.3% |
| Missouri | $227 | $848 | 97 | 319 | -10.4% |
| Oregon | $223 | $793 | 63 | 177 | -12.0% |
| Mississippi | $219 | $957 | 46 | 166 | -13.5% |
| Nebraska | $217 | $633 | 42 | 174 | -14.4% |
| Maine | $216 | $730 | 16 | 34 | -14.7% |
| Ohio | $216 | $701 | 167 | 612 | -14.9% |
| Utah | $215 | $962 | 37 | 99 | -15.2% |
| Arkansas | $214 | $635 | 46 | 149 | -15.5% |
| Oklahoma | $208 | $650 | 55 | 147 | -18.0% |
| Wisconsin | $206 | $1,980 | 77 | 166 | -18.8% |
| West Virginia | $201 | $762 | 23 | 81 | -20.6% |
| New Hampshire | $192 | $1,091 | 24 | 54 | -24.3% |
| North Dakota | $162 | $1,293 | 6 | 15 | -36.3% |
| Vermont | $160 | $640 | 5 | 16 | -36.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber