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

Full-thickness lip removal with nearby tissue flap repair

CPT 40527the billing code this page is about

Removal of a full-thickness section of lip followed by reconstruction using a flap of adjacent lip tissue moved into the gap.

Hospitals typically charge $3,786 cash for this outpatient procedure — the median across 255 hospitals that filed a usable cash price; the average of the middle 60% is $4,358. Most fall between $1,173 and $8,252 (20th–80th percentile).

Hospitals
255
States
39
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 255 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
$892$1,223$3,786$7,894$11,934

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($892 vs $11,934).

How the prices are spread

$587 – $799: 13 hospitals$587$799 – $1,087: 21 hospitals$1,087 – $1,478: 28 hospitals$1,087$1,478 – $2,011: 36 hospitals$2,011 – $2,736: 13 hospitals$2,011$2,736 – $3,721: 6 hospitals$3,721 – $5,061: 10 hospitals$3,721$5,061 – $6,885: 30 hospitals$6,885 – $9,365: 48 hospitals$6,885$9,365 – $12,739: 28 hospitals$9,365median $3,786price bands are equal on a log scale
Hospitals per price band (233 of 255 — the bands cover the 5th to 95th percentile)
FromToHospitals
$587$79913
$799$1,08721
$1,087$1,47828
$1,478$2,01136
$2,011$2,73613
$2,736$3,7216
$3,721$5,06110
$5,061$6,88530
$6,885$9,36548
$9,365$12,73928

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$3,786
Cash as a multiple of Medicare0.63×

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 $3,786.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 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: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,223 across 13 hospitalsIL$1,223Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $1,892 across 19 hospitalsMI$1,892New York: median $7,000 across 20 hospitalsNY$7,000Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,536 across 15 hospitalsIA$1,536Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,423 across 11 hospitalsOH$2,423Pennsylvania: median $3,908 across 19 hospitalsPA$3,908New Jersey: median $6,548 across 29 hospitalsNJ$6,548Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,934 across 23 hospitalsCA$11,934Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,040 across 12 hospitalsOK$1,040Louisiana: 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: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $8,252 across 19 hospitalsTX$8,252Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,786. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA23$11,934+215%$11,934 – $11,934
Texas TX19$8,252+118%$8,252 – $8,252
New York NY20$7,000+85%$1,909 – $7,000
New Jersey NJ29$6,548+73%$4,881 – $7,659
Pennsylvania PA19$3,908+3%$389 – $10,001
Ohio OH11$2,423−36%$1,537 – $2,423
Michigan MI19$1,892−50%$1,414 – $8,140
Iowa IA15$1,536−59%$1,536 – $1,536
Illinois IL13$1,223−68%$1,105 – $3,629
Oklahoma OK12$1,040−73%$1,040 – $1,040
Florida FL7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Wisconsin WI1not 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 $3,786.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care222$4,627$1,148 – $8,252
Children’s7fewer than 20 hospitals
Critical access25$1,815$1,223 – $8,874
Ownership
For-profit24$2,374$1,223 – $9,505
Government34$5,355$1,132 – $7,000
Non-profit196$3,498$1,173 – $8,252
System affiliation
Part of a system213$5,269$1,223 – $8,252
Independent42$1,830$1,105 – $5,938

Cash price vs list price

Median list price (chargemaster)$3,493
Median cash price$3,786
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

138 hospitals filed a usable inpatient cash price for this code. The median is $1,649 and the average of the middle 60% is $3,603; most fall between $1,075 and $10,946.

Cash price percentiles, inpatient, across 138 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
$737$1,205$1,649$8,252$11,934

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($737 vs $11,934).

Of the 149 hospitals that filed this code inpatient, 138 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

255 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 282 hospitals that filed this code at all gave us
Usable cash price — counted255
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
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 — excluded1
Hospitals that filed this code282

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 23, 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/Cross Lip 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 removal with nearby tissue flap repair (CPT 40527) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40527-full-thickness-lip-removal-with-nearby-tissue-flap-repair