Cost of a Septoplasty Visit
in Pennsylvania
Reviewed by Momentary Medical Group West PC
Pennsylvania's healthcare costs run approximately 9% above the national average, driven by concentrated markets in Philadelphia and Pittsburgh alongside extensive rural coverage areas. For Septoplasty procedures, patients typically pay between $433.88 and $2,159.83, with a median out-of-pocket cost of $718.51 across the state's 910 active providers. The Commonwealth's robust network of academic medical centers and regional health systems means patients have substantial choice when seeking specialized surgical care throughout Pennsylvania.
Average
$1,104
Median
$719
Lowest
$434
Highest
$2,160
Providers
910
20% above national average
Compare Similar Procedures
How does septoplasty compare to related procedures in Pennsylvania?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $909 | $1,551 | $6,051 | 916 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,379 | $6,060 | 1,270 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $618 | $2,135 | 984 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $366 | $623 | $2,410 | 933 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $709 | $1,984 | 1,021 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $632 | $1,669 | 1,389 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $975 | $3,201 | 983 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $149 | $317 | $742 | 968 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $333 | $562 | $1,448 | 914 |
| Mastectomy Partial or simple mastectomy | 19301 | $250 | $705 | $2,642 | 976 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $317 | $537 | $1,957 | 914 |
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 30520 — Septoplasty 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.
Top-Rated Hospitals in Pennsylvania
These hospitals in Pennsylvania are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
WASHINGTON, PA
ROYERSFORD, PA
YORK, PA
WYOMISSING, PA
MUNCY, PA
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Septoplasty Visit Costs Vary Across Pennsylvania
Pennsylvania's healthcare costs run roughly 9% above national averages, reflecting the state's mix of high-cost urban markets and scattered rural communities requiring specialized access. The concentration of major health systems in Philadelphia and Pittsburgh creates pricing anchors that influence rates throughout their service regions.
Urban vs. Rural Provider Availability
Philadelphia and Pittsburgh offer abundant ENT specialists and surgical options, while Pennsylvania's extensive rural counties may require patients to travel significant distances for subspecialty care. Rural areas often have fewer in-network options, potentially limiting price competition and patient choice. The state's mountainous terrain and scattered population centers can make accessing specialized surgical care challenging for residents in central and northern Pennsylvania.
Facility Type and Overhead Costs
Hospital-based outpatient departments typically charge facility fees that can add $500-1,500 to septoplasty procedures compared to independent surgery centers. Major health systems like Penn Medicine, UPMC, and Geisinger operate numerous locations with varying cost structures across their networks. Academic medical centers command premium rates but offer access to the latest techniques and subspecialty expertise.
Insurance Market Competition in Pennsylvania
Highmark dominates western Pennsylvania while Independence Blue Cross holds strong market share in the Philadelphia region, with United Healthcare maintaining significant presence statewide. This geographic division can create different negotiated rates and network options depending on your location within Pennsylvania. The competitive insurance environment generally helps moderate provider rate increases compared to states with single-payer dominance.
Physician Supply and Demand in Pennsylvania
With 910 active septoplasty providers, Pennsylvania maintains adequate specialist availability relative to its population, though distribution favors urban areas over rural communities. The state's multiple medical schools and residency programs help maintain steady physician supply, preventing the severe shortages seen in some neighboring states. Strong competition among providers in major metropolitan areas can help moderate pricing for patients with insurance choice.
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.
Frequently Asked Questions — Septoplasty Costs in Pennsylvania
What is the average cost of a Septoplasty visit in Pennsylvania without insurance?
Does Pennsylvania Medicaid cover Septoplasty visits?
How do I find an affordable Septoplasty near me in Pennsylvania?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Septoplasty visit in Pennsylvania?
How does telemedicine affect the cost of seeing a Septoplasty in Pennsylvania?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 30520)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $95 – $4,419 | $1,865 |
| 2 | Massachusetts Range: $456 – $2,788 | $1,415 |
| 3 | Nebraska Range: $765 – $1,627 | $1,273 |
| 4 | Wyoming Range: $714 – $1,996 | $1,260 |
| 5 | Rhode Island Range: $555 – $2,160 | $1,256 |
| 6 | Georgia Range: $499 – $2,190 | $1,213 |
| 7 | Iowa Range: $549 – $1,627 | $1,201 |
| 8 | New Hampshire Range: $563 – $1,719 | $1,178 |
| 9 | Maine Range: $811 – $1,346 | $1,156 |
| 10 | Connecticut Range: $432 – $2,160 | $1,124 |
| 11 | Delaware Range: $449 – $2,160 | $1,112 |
| 12 | Pennsylvania Range: $434 – $2,160 | $1,104 |
| 13 | New York Range: $466 – $2,160 | $1,084 |
| 14 | District of Columbia Range: $461 – $1,588 | $1,036 |
| 15 | California Range: $80 – $2,160 | $1,020 |
| 16 | North Carolina Range: $500 – $1,710 | $1,012 |
| 17 | New Mexico Range: $566 – $1,494 | $996 |
| 18 | Colorado Range: $526 – $1,567 | $983 |
| 19 | Utah Range: $90 – $1,485 | $981 |
| 20 | West Virginia Range: $461 – $1,698 | $980 |
| 21 | Vermont Range: $500 – $1,577 | $966 |
| 22 | North Dakota Range: $381 – $1,627 | $952 |
| 23 | Kentucky Range: $435 – $1,627 | $951 |
| 24 | Washington Range: $80 – $1,793 | $910 |
| 25 | South Carolina Range: $466 – $1,422 | $856 |
| 26 | South Dakota Range: $90 – $1,627 | $855 |
| 27 | Oregon Range: $80 – $1,641 | $855 |
| 28 | Minnesota Range: $91 – $1,627 | $842 |
| 29 | Illinois Range: $512 – $1,289 | $828 |
| 30 | Maryland Range: $461 – $1,395 | $824 |
| 31 | Alabama Range: $433 – $1,315 | $812 |
| 32 | Mississippi Range: $471 – $1,357 | $808 |
| 33 | Tennessee Range: $516 – $1,155 | $801 |
| 34 | Arkansas Range: $433 – $1,074 | $798 |
| 35 | New Jersey Range: $406 – $1,411 | $794 |
| 36 | Virginia Range: $433 – $1,298 | $792 |
| 37 | Missouri Range: $573 – $954 | $783 |
| 38 | Oklahoma Range: $500 – $1,200 | $774 |
| 39 | Kansas Range: $569 – $981 | $772 |
| 40 | Hawaii Range: $80 – $1,376 | $771 |
| 41 | Idaho Range: $80 – $1,422 | $762 |
| 42 | Indiana Range: $90 – $1,472 | $748 |
| 43 | Michigan Range: $532 – $1,072 | $746 |
| 44 | Nevada Range: $463 – $1,103 | $731 |
| 45 | Louisiana Range: $399 – $1,133 | $723 |
| 46 | Arizona Range: $498 – $1,072 | $701 |
| 47 | Ohio Range: $357 – $1,116 | $688 |
| 48 | Texas Range: $90 – $1,309 | $679 |
| 49 | Alaska Range: $80 – $1,251 | $470 |
| 50 | Montana Range: $80 – $920 | $360 |
| 51 | Florida Range: $35 – $938 | $343 |