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Procedure price report · Diagnostic procedures on nose, mouth and pharynx

Biopsy of the lip

CPT 40490the billing code this page is about

Removal of a small sample of lip tissue so it can be examined in a laboratory.

Hospitals typically charge $286 cash for this outpatient procedure — the median across 937 hospitals that filed a usable cash price; the average of the middle 60% is $304. Most fall between $144 and $565 (20th–80th percentile).

Hospitals
937
States
49
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 937 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$108$173$286$474$861

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($108 vs $861).

How the prices are spread

$75 – $99: 30 hospitals$75$99 – $130: 80 hospitals$130 – $171: 76 hospitals$130$171 – $226: 108 hospitals$226 – $297: 151 hospitals$226$297 – $392: 136 hospitals$392 – $516: 101 hospitals$392$516 – $680: 70 hospitals$680 – $896: 78 hospitals$680$896 – $1,180: 19 hospitals$896median $286price bands are equal on a log scale
Hospitals per price band (849 of 937 — the bands cover the 5th to 95th percentile)
FromToHospitals
$75$9930
$99$13080
$130$17176
$171$226108
$226$297151
$297$392136
$392$516101
$516$68070
$680$89678
$896$1,18019

Against Medicare

Medicare pays (OPPS 2026, national rate)$242
Median cash price$286
Cash as a multiple of Medicare1.18×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $286.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $312 across 20 hospitalsWA$312Idaho: median $335 across 11 hospitalsID$335Montana: median $192 across 11 hospitalsMT$192North Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $211 across 36 hospitalsMN$211Illinois: median $261 across 37 hospitalsIL$261Wisconsin: median $414 across 54 hospitalsWI$414Michigan: median $326 across 46 hospitalsMI$326New York: median $275 across 56 hospitalsNY$275Massachusetts: median $546 across 13 hospitalsMA$546Oregon: median $222 across 25 hospitalsOR$222Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $286 across 10 hospitalsSD$286Iowa: median $292 across 35 hospitalsIA$292Indiana: median $161 across 26 hospitalsIN$161Ohio: median $282 across 25 hospitalsOH$282Pennsylvania: median $342 across 48 hospitalsPA$342New Jersey: median $310 across 36 hospitalsNJ$310Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $718 across 61 hospitalsCA$718Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $224 across 14 hospitalsCO$224Nebraska: median $248 across 23 hospitalsNE$248Missouri: median $176 across 25 hospitalsMO$176Kentucky: median $146 across 10 hospitalsKY$146West Virginia: median $198 across 24 hospitalsWV$198Virginia: median $237 across 18 hospitalsVA$237Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $180 across 21 hospitalsKS$180Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $140 across 12 hospitalsTN$140North Carolina: median $400 across 22 hospitalsNC$400South Carolina: median $378 across 17 hospitalsSC$378Oklahoma: median $114 across 18 hospitalsOK$114Louisiana: median $252 across 18 hospitalsLA$252Mississippi: median $179 across 12 hospitalsMS$179Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $850 across 10 hospitalsGA$850Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $579 across 31 hospitalsTX$579Florida: median $733 across 33 hospitalsFL$733
Cash price by state, most expensive first. National median $286. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA10$850+198%$295 – $850
Florida FL33$733+157%$281 – $1,180
California CA61$718+151%$235 – $885
Texas TX31$579+103%$256 – $595
Massachusetts MA13$546+91%$273 – $978
Wisconsin WI54$414+45%$202 – $451
North Carolina NC22$400+40%$220 – $417
South Carolina SC17$378+32%$378 – $488
Pennsylvania PA48$342+20%$123 – $482
Idaho ID11$335+17%$212 – $533
Michigan MI46$326+14%$108 – $414
Washington WA20$312+9%$234 – $381
New Jersey NJ36$310+8%$257 – $4,881
Iowa IA35$292+2%$173 – $309
South Dakota SD10$2860%$85 – $286
Ohio OH25$282−1%$129 – $479
New York NY56$275−4%$133 – $465
Illinois IL37$261−9%$127 – $485
Louisiana LA18$252−12%$137 – $599
Nebraska NE23$248−13%$122 – $300
Virginia VA18$237−17%$57 – $861
Colorado CO14$224−22%$123 – $390
Oregon OR25$222−22%$107 – $351
Minnesota MN36$211−26%$156 – $383
West Virginia WV24$198−31%$72 – $297
Montana MT11$192−33%$140 – $341
Kansas KS21$180−37%$120 – $337
Mississippi MS12$179−37%$159 – $301
Missouri MO25$176−38%$92 – $340
Indiana IN26$161−44%$121 – $229
Kentucky KY10$146−49%$121 – $233
Tennessee TN12$140−51%$124 – $286
Oklahoma OK18$114−60%$114 – $285
New Hampshire NH8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $286.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care673$309$158 – $664
Children’s21$260$158 – $479
Critical access242$226$121 – $414
Ownership
For-profit57$404$161 – $683
Government186$265$162 – $404
Non-profit693$296$141 – $595
System affiliation
Part of a system742$301$156 – $595
Independent195$231$125 – $404

Cash price vs list price

Median list price (chargemaster)$435
Median cash price$286
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

578 hospitals filed a usable inpatient cash price for this code. The median is $323 and the average of the middle 60% is $350; most fall between $160 and $656.

Cash price percentiles, inpatient, across 578 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$114$192$323$579$861

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($114 vs $861).

Of the 627 hospitals that filed this code inpatient, 578 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

937 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,014 hospitals that filed this code at all gave us
Usable cash price — counted937
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded25
Hospitals that filed this code1,014

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as PR Biopsy of Lip.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Biopsy of the lip (CPT 40490) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40490-biopsy-of-the-lip