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

Full-thickness lip lesion removal with nearby tissue flap

CPT 40525the billing code this page is about

Cutting out a lip lesion through the full thickness of the lip and rebuilding the area using a flap of adjacent tissue.

Hospitals typically charge $2,794 cash for this outpatient procedure — the median across 333 hospitals that filed a usable cash price; the average of the middle 60% is $2,935. Most fall between $937 and $5,510 (20th–80th percentile).

Hospitals
333
States
43
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 333 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
$749$1,145$2,794$4,798$8,820

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($749 vs $8,820).

How the prices are spread

$535 – $708: 19 hospitals$535$708 – $937: 34 hospitals$937 – $1,240: 21 hospitals$937$1,240 – $1,641: 29 hospitals$1,641 – $2,172: 33 hospitals$1,641$2,172 – $2,874: 32 hospitals$2,874 – $3,804: 27 hospitals$2,874$3,804 – $5,035: 43 hospitals$5,035 – $6,664: 33 hospitals$5,035$6,664 – $8,820: 32 hospitals$6,664median $2,794price bands are equal on a log scale
Hospitals per price band (303 of 333 — the bands cover the 5th to 95th percentile)
FromToHospitals
$535$70819
$708$93734
$937$1,24021
$1,240$1,64129
$1,641$2,17233
$2,172$2,87432
$2,874$3,80427
$3,804$5,03543
$5,035$6,66433
$6,664$8,82032

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$2,794
Cash as a multiple of Medicare0.82×

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 $2,794.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,037 across 14 hospitalsIL$1,037Wisconsin: median $2,794 across 20 hospitalsWI$2,794Michigan: median $1,765 across 26 hospitalsMI$1,765New York: median $3,838 across 23 hospitalsNY$3,838Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,369 across 18 hospitalsIA$1,369Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,007 across 11 hospitalsOH$2,007Pennsylvania: median $2,129 across 21 hospitalsPA$2,129New Jersey: median $4,327 across 30 hospitalsNJ$4,327Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,820 across 30 hospitalsCA$8,820Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $572 across 10 hospitalsWV$572Virginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $909 across 14 hospitalsOK$909Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,510 across 19 hospitalsTX$5,510Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,794. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA30$8,820+216%$2,414 – $8,820
Texas TX19$5,510+97%$3,110 – $5,510
New Jersey NJ30$4,327+55%$3,590 – $5,741
New York NY23$3,838+37%$1,366 – $3,838
Wisconsin WI20$2,7940%$2,794 – $4,798
Pennsylvania PA21$2,129−24%$356 – $5,036
Ohio OH11$2,007−28%$994 – $2,476
Michigan MI26$1,765−37%$1,634 – $2,794
Iowa IA18$1,369−51%$1,369 – $1,710
Illinois IL14$1,037−63%$849 – $3,088
Oklahoma OK14$909−67%$909 – $6,612
West Virginia WV10$572−80%$559 – $1,512
Idaho ID6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $2,794.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care269$2,888$994 – $5,510
Children’s7fewer than 20 hospitals
Critical access56$1,905$849 – $4,798
Ownership
For-profit32$2,671$849 – $5,557
Government40$1,634$868 – $3,838
Non-profit260$2,794$991 – $5,510
System affiliation
Part of a system279$2,794$910 – $5,510
Independent54$1,688$937 – $3,501

Cash price vs list price

Median list price (chargemaster)$3,088
Median cash price$2,794
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

201 hospitals filed a usable inpatient cash price for this code. The median is $1,868 and the average of the middle 60% is $2,352; most fall between $857 and $5,510.

Cash price percentiles, inpatient, across 201 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
$704$909$1,868$5,036$8,820

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($704 vs $8,820).

Of the 214 hospitals that filed this code inpatient, 201 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

333 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 355 hospitals that filed this code at all gave us
Usable cash price — counted333
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded4
Hospitals that filed this code355

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 Full Thkns Rcnstj W/Local Flap.

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, “Full-thickness lip lesion removal with nearby tissue flap (CPT 40525) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40525-full-thickness-lip-lesion-removal-with-nearby-tissue-flap