HRHospitalRates.comCompare prices

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

Removal of more than a quarter of the lip without rebuilding

CPT 40530the billing code this page is about

Surgery that cuts away over one fourth of the lip without any reconstruction performed at the same time.

Hospitals typically charge $2,535 cash for this outpatient procedure — the median across 318 hospitals that filed a usable cash price; the average of the middle 60% is $2,532. Most fall between $731 and $4,881 (20th–80th percentile).

Hospitals
318
States
46
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 318 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
$557$918$2,535$4,552$6,904

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($557 vs $6,904).

How the prices are spread

$425 – $573: 17 hospitals$425$573 – $774: 33 hospitals$774 – $1,045: 38 hospitals$774$1,045 – $1,410: 26 hospitals$1,410 – $1,904: 20 hospitals$1,410$1,904 – $2,571: 14 hospitals$2,571 – $3,471: 28 hospitals$2,571$3,471 – $4,685: 61 hospitals$4,685 – $6,326: 29 hospitals$4,685$6,326 – $8,540: 25 hospitals$6,326median $2,535price bands are equal on a log scale
Hospitals per price band (291 of 318 — the bands cover the 5th to 95th percentile)
FromToHospitals
$425$57317
$573$77433
$774$1,04538
$1,045$1,41026
$1,410$1,90420
$1,904$2,57114
$2,571$3,47128
$3,471$4,68561
$4,685$6,32629
$6,326$8,54025

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$2,535
Cash as a multiple of Medicare0.75×

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 $2,535.

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: 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: 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $803 across 14 hospitalsIL$803Wisconsin: median $6,178 across 10 hospitalsWI$6,178Michigan: median $1,011 across 21 hospitalsMI$1,011New York: median $3,838 across 22 hospitalsNY$3,838Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,344 across 22 hospitalsIA$1,344Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,485 across 11 hospitalsOH$1,485Pennsylvania: median $624 across 20 hospitalsPA$624New Jersey: median $4,627 across 29 hospitalsNJ$4,627Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,276 across 29 hospitalsCA$3,276Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $669 across 13 hospitalsOK$669Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,984 across 19 hospitalsTX$3,984Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,535. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI10$6,178+144%$2,540 – $6,178
New Jersey NJ29$4,627+83%$3,590 – $6,864
Texas TX19$3,984+57%$3,984 – $4,553
New York NY22$3,838+51%$1,197 – $3,838
California CA29$3,276+29%$2,535 – $3,276
Ohio OH11$1,485−41%$1,013 – $8,179
Iowa IA22$1,344−47%$1,148 – $1,429
Michigan MI21$1,011−60%$800 – $1,011
Illinois IL14$803−68%$599 – $2,754
Oklahoma OK13$669−74%$669 – $6,612
Pennsylvania PA20$624−75%$251 – $5,483
Florida FL8not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Oregon OR1not 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 $2,535.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care264$3,276$800 – $5,110
Children’s7fewer than 20 hospitals
Critical access46$1,146$633 – $4,650
Ownership
For-profit31$2,799$656 – $5,299
Government51$1,653$879 – $4,057
Non-profit235$2,540$669 – $4,688
System affiliation
Part of a system262$3,276$669 – $5,269
Independent56$1,485$800 – $4,069

Cash price vs list price

Median list price (chargemaster)$2,023
Median cash price$2,535
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

176 hospitals filed a usable inpatient cash price for this code. The median is $1,459 and the average of the middle 60% is $1,953; most fall between $669 and $3,984.

Cash price percentiles, inpatient, across 176 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
$550$669$1,459$3,276$5,157

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($550 vs $5,157).

Of the 188 hospitals that filed this code inpatient, 176 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

318 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 347 hospitals that filed this code at all gave us
Usable cash price — counted318
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
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 — excluded5
Hospitals that filed this code347

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 PR Partial Removal of Lip,>1/4.

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, “Removal of more than a quarter of the lip without rebuilding (CPT 40530) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40530-removal-of-more-than-a-quarter-of-the-lip-without-rebuilding