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Oregon

Cost of a Septoplasty Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare market operates approximately 9% above national cost averages, reflecting the state's concentrated provider networks and Medicaid expansion coverage. Septoplasty patients typically pay between $80 and $1,641, with a median out-of-pocket cost of $843 based on negotiated insurance rates. Oregon maintains 243 active Septoplasty providers across urban and rural regions, allowing patients to browse multiple options for nasal surgery consultations and procedures.

Average

$855

Median

$843

Lowest

$80

Highest

$1,641

Providers

243

National avg: $921Oregon: $855

7% below national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Knee Replacement

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27447$1,116$2,114$3,635165
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,921$3,637201
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$803$1,687188
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$763$1,591250
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$745$1,616366
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Mastectomy

Partial or simple mastectomy

19301$85$934$1,746180
Carpal Tunnel Surgery

Open carpal tunnel release

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Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 30520Septoplasty or submucous resection). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 30520 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 30520 (Septoplasty or submucous resection), as mandated by the CMS Price Transparency Rule.

What CPT 30520 covers: the provider's professional fee for septoplasty. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Septoplasty Visit Costs Vary Across Oregon

Oregon's healthcare costs run approximately 9% above national averages, driven by concentrated provider markets in Portland and Eugene while rural eastern counties face significant access challenges. The state's Medicaid expansion and moderate ASC growth create unique pricing dynamics compared to neighboring markets.

Urban vs. Rural Provider Availability

Portland metro area concentrates most of Oregon's ENT specialists, creating competitive pricing but longer wait times, while rural counties east of the Cascades often require travel to access septoplasty expertise. Coastal communities between Lincoln City and Coos Bay maintain limited ENT coverage, forcing many patients toward Portland or Eugene for surgical consultations. This geographic imbalance drives higher costs in underserved regions despite lower overhead expenses.

Facility Type and Overhead Costs

OHSU, Legacy Health, and Providence dominate Oregon's hospital-based ENT services, typically charging facility fees that independent practices avoid. Ambulatory surgery centers in Portland and Salem offer cost-effective alternatives for septoplasty procedures compared to hospital operating rooms. Independent ENT practices in suburbs like Lake Oswego or Bend often provide competitive pricing without major health system overhead costs.

Insurance Market Competition in Oregon

Regence BCBS, PacificSource, and UHC negotiate different rates with Oregon providers, creating variable costs for identical septoplasty services depending on coverage. The state's moderate insurer competition means less aggressive rate negotiation than larger markets like California or Texas. Rural areas face limited insurer participation, reducing competitive pressure on provider pricing.

Physician Supply and Demand in Oregon

Oregon's 243 active Septoplasty providers indicate adequate supply for urban areas but significant shortages in rural counties, particularly eastern Oregon. This supply imbalance drives premium pricing in underserved regions while Portland metro maintains competitive rates. Surgical wait times typically extend 4-8 weeks in major cities, longer in rural areas, affecting both access and pricing leverage.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Septoplasty Costs in Oregon

What is the average cost of a Septoplasty visit in Oregon without insurance?

Without insurance, septoplasty consultations in Oregon range from $80 to $1,641, with a median cost of $843 based on negotiated rates that providers often extend to self-pay patients. Many practices offer cash-pay discounts of 10-30% for payment at time of service. Rural providers may charge less than Portland metro specialists, but travel costs can offset savings for complex cases requiring multiple visits.

Does Oregon Medicaid cover Septoplasty visits?

Oregon's Medicaid expansion covers septoplasty consultations and medically necessary nasal surgery for eligible adults under the Oregon Health Plan. Coverage typically requires documentation that conservative treatments like nasal sprays or allergy management have failed to resolve symptoms. Prior authorization may be required for surgical procedures, but diagnostic consultations are generally covered with minimal patient cost-sharing.

How do I find an affordable Septoplasty near me in Oregon?

Compare costs between hospital-based ENT clinics and independent practices, as facility fees can add hundreds to your bill. Many Oregon providers offer self-pay discounts or payment plans for uninsured patients. Community health centers in cities like Portland and Eugene may provide sliding-scale ENT services, while some rural providers offer competitive rates due to lower overhead costs.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial septoplasty consultations typically cost $843 on average in Oregon, involving comprehensive nasal examination, medical history review, and often nasal endoscopy. Follow-up visits generally cost less, usually falling in the $200-400 range for established patients. Post-surgical follow-ups may be included in global surgical fees, while ongoing medical management visits are billed separately.

Can I use an HSA or FSA to pay for a Septoplasty visit in Oregon?

Both HSA and FSA funds can cover septoplasty consultations and procedures as qualified medical expenses when medically necessary. Keep receipts and documentation showing the medical necessity rather than purely cosmetic purposes. Pre-surgical consultations, imaging studies, and the surgery itself all qualify for HSA/FSA reimbursement under IRS guidelines.

How does telemedicine affect the cost of seeing a Septoplasty in Oregon?

Telemedicine consultations typically cost 20-40% less than in-person visits but are limited for septoplasty evaluation since physical examination and nasal endoscopy are usually required. Some Oregon ENT practices offer virtual follow-up appointments post-surgery at reduced rates. Initial consultations for nasal obstruction generally require in-person evaluation to assess septal deviation and plan surgical intervention.

Click a state to compare costs

Average Visit Cost

$343
$1,865

Office visit (CPT 30520)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $95$4,419
$1,865
2Massachusetts
Range: $456$2,788
$1,415
3Nebraska
Range: $765$1,627
$1,273
4Wyoming
Range: $714$1,996
$1,260
5Rhode Island
Range: $555$2,160
$1,256
6Georgia
Range: $499$2,190
$1,213
7Iowa
Range: $549$1,627
$1,201
8New Hampshire
Range: $563$1,719
$1,178
9Maine
Range: $811$1,346
$1,156
10Connecticut
Range: $432$2,160
$1,124
11Delaware
Range: $449$2,160
$1,112
12Pennsylvania
Range: $434$2,160
$1,104
13New York
Range: $466$2,160
$1,084
14District of Columbia
Range: $461$1,588
$1,036
15California
Range: $80$2,160
$1,020
16North Carolina
Range: $500$1,710
$1,012
17New Mexico
Range: $566$1,494
$996
18Colorado
Range: $526$1,567
$983
19Utah
Range: $90$1,485
$981
20West Virginia
Range: $461$1,698
$980
21Vermont
Range: $500$1,577
$966
22North Dakota
Range: $381$1,627
$952
23Kentucky
Range: $435$1,627
$951
24Washington
Range: $80$1,793
$910
25South Carolina
Range: $466$1,422
$856
26South Dakota
Range: $90$1,627
$855
27Oregon
Range: $80$1,641
$855
28Minnesota
Range: $91$1,627
$842
29Illinois
Range: $512$1,289
$828
30Maryland
Range: $461$1,395
$824
31Alabama
Range: $433$1,315
$812
32Mississippi
Range: $471$1,357
$808
33Tennessee
Range: $516$1,155
$801
34Arkansas
Range: $433$1,074
$798
35New Jersey
Range: $406$1,411
$794
36Virginia
Range: $433$1,298
$792
37Missouri
Range: $573$954
$783
38Oklahoma
Range: $500$1,200
$774
39Kansas
Range: $569$981
$772
40Hawaii
Range: $80$1,376
$771
41Idaho
Range: $80$1,422
$762
42Indiana
Range: $90$1,472
$748
43Michigan
Range: $532$1,072
$746
44Nevada
Range: $463$1,103
$731
45Louisiana
Range: $399$1,133
$723
46Arizona
Range: $498$1,072
$701
47Ohio
Range: $357$1,116
$688
48Texas
Range: $90$1,309
$679
49Alaska
Range: $80$1,251
$470
50Montana
Range: $80$920
$360
51Florida
Range: $35$938
$343
Septoplasty in Other States