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Procedure price report · Other OR therapeutic procedures on nose, mouth and pharynx

V-shaped removal of a lip lesion with direct closure

CPT 40520the billing code this page is about

Cutting out a lip lesion in a V shape and closing the wound in a straight line with stitches.

Hospitals typically charge $2,094 cash for this outpatient procedure — the median across 429 hospitals that filed a usable cash price; the average of the middle 60% is $2,279. Most fall between $775 and $4,559 (20th–80th percentile).

Hospitals
429
States
47
Filings dated
Mar 2023 – 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 429 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
$539$865$2,094$4,050$8,008

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($539 vs $8,008).

How the prices are spread

$372 – $511: 16 hospitals$372$511 – $701: 41 hospitals$701 – $961: 46 hospitals$701$961 – $1,319: 53 hospitals$1,319 – $1,810: 26 hospitals$1,319$1,810 – $2,483: 39 hospitals$2,483 – $3,406: 26 hospitals$2,483$3,406 – $4,673: 79 hospitals$4,673 – $6,411: 24 hospitals$4,673$6,411 – $8,795: 37 hospitals$6,411median $2,094price bands are equal on a log scale
Hospitals per price band (387 of 429 — the bands cover the 5th to 95th percentile)
FromToHospitals
$372$51116
$511$70141
$701$96146
$961$1,31953
$1,319$1,81026
$1,810$2,48339
$2,483$3,40626
$3,406$4,67379
$4,673$6,41124
$6,411$8,79537

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$2,094
Cash as a multiple of Medicare0.62×

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 $2,094.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,001 across 10 hospitalsMN$1,001Illinois: median $1,054 across 17 hospitalsIL$1,054Wisconsin: median $2,170 across 42 hospitalsWI$2,170Michigan: median $976 across 16 hospitalsMI$976New York: median $3,838 across 30 hospitalsNY$3,838Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,430 across 13 hospitalsOR$1,430Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,224 across 22 hospitalsIA$1,224Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,245 across 18 hospitalsOH$1,245Pennsylvania: median $1,357 across 20 hospitalsPA$1,357New Jersey: median $4,327 across 31 hospitalsNJ$4,327Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,008 across 29 hospitalsCA$8,008Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $588 across 14 hospitalsOK$588Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,750 across 23 hospitalsTX$3,750Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,094. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA29$8,008+282%$1,680 – $8,008
New Jersey NJ31$4,327+107%$3,593 – $5,419
New York NY30$3,838+83%$1,050 – $3,838
Texas TX23$3,750+79%$3,110 – $4,050
Wisconsin WI42$2,170+4%$865 – $2,540
Oregon OR13$1,430−32%$924 – $1,430
Pennsylvania PA20$1,357−35%$222 – $5,483
Ohio OH18$1,245−41%$980 – $4,572
Iowa IA22$1,224−42%$1,224 – $1,944
Illinois IL17$1,054−50%$539 – $1,592
Minnesota MN10$1,001−52%$845 – $2,546
Michigan MI16$976−53%$709 – $4,559
Oklahoma OK14$588−72%$588 – $6,612
Georgia GA9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not 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 $2,094.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care338$2,187$756 – $5,339
Children’s11fewer than 20 hospitals
Critical access79$1,436$816 – $3,134
Ownership
For-profit35$2,250$577 – $8,165
Government60$2,038$781 – $3,838
Non-profit333$1,981$790 – $4,572
System affiliation
Part of a system356$2,170$794 – $4,627
Independent73$1,312$644 – $4,069

Cash price vs list price

Median list price (chargemaster)$1,868
Median cash price$2,094
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

260 hospitals filed a usable inpatient cash price for this code. The median is $1,375 and the average of the middle 60% is $1,828; most fall between $631 and $4,198.

Cash price percentiles, inpatient, across 260 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
$539$865$1,375$3,750$8,008

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($539 vs $8,008).

Of the 289 hospitals that filed this code inpatient, 260 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

429 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 485 hospitals that filed this code at all gave us
Usable cash price — counted429
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
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 — excluded12
Hospitals that filed this code485

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 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as Exc Lip V-Exc W/Prim Dir Linr Clsr.

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, “V-shaped removal of a lip lesion with direct closure (CPT 40520) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40520-v-shaped-removal-of-a-lip-lesion-with-direct-closure