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

Full-thickness lip repair, more than half the lip height

CPT 40654the billing code this page is about

Stitched repair of a wound going through the whole lip and involving more than half the lip's height, or an otherwise complex repair.

Hospitals typically charge $1,773 cash for this outpatient procedure — the median across 1,373 hospitals that filed a usable cash price; the average of the middle 60% is $1,839. Most fall between $938 and $3,170 (20th–80th percentile).

Hospitals
1,373
States
50
Filings dated
Jun 2024 – 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 1,373 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
$609$1,078$1,773$2,754$4,600

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($609 vs $4,600).

How the prices are spread

$453 – $580: 56 hospitals$453$580 – $743: 79 hospitals$743 – $951: 76 hospitals$743$951 – $1,217: 133 hospitals$1,217 – $1,558: 135 hospitals$1,217$1,558 – $1,994: 268 hospitals$1,994 – $2,552: 168 hospitals$1,994$2,552 – $3,267: 131 hospitals$3,267 – $4,182: 87 hospitals$3,267$4,182 – $5,353: 105 hospitals$4,182median $1,773price bands are equal on a log scale
Hospitals per price band (1,238 of 1,373 — the bands cover the 5th to 95th percentile)
FromToHospitals
$453$58056
$580$74379
$743$95176
$951$1,217133
$1,217$1,558135
$1,558$1,994268
$1,994$2,552168
$2,552$3,267131
$3,267$4,18287
$4,182$5,353105

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,585
Median cash price$1,773
Cash as a multiple of Medicare1.12×

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 $1,773.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,212 across 13 hospitalsME$1,212Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $605 across 10 hospitalsNH$605Washington: median $1,512 across 41 hospitalsWA$1,512Idaho: median $3,052 across 11 hospitalsID$3,052Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $1,571 across 10 hospitalsND$1,571Minnesota: median $1,776 across 49 hospitalsMN$1,776Illinois: median $1,735 across 54 hospitalsIL$1,735Wisconsin: median $1,789 across 61 hospitalsWI$1,789Michigan: median $1,537 across 50 hospitalsMI$1,537New York: median $1,937 across 60 hospitalsNY$1,937Massachusetts: median $4,063 across 33 hospitalsMA$4,063Oregon: median $1,668 across 37 hospitalsOR$1,668Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,236 across 27 hospitalsIA$1,236Indiana: median $1,820 across 15 hospitalsIN$1,820Ohio: median $1,769 across 47 hospitalsOH$1,769Pennsylvania: median $2,046 across 64 hospitalsPA$2,046New Jersey: median $3,093 across 34 hospitalsNJ$3,093Connecticut: median $1,592 across 14 hospitalsCT$1,592Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,119 across 101 hospitalsCA$2,119Utah: median $563 across 23 hospitalsUT$563Colorado: median $1,225 across 27 hospitalsCO$1,225Nebraska: median $983 across 27 hospitalsNE$983Missouri: median $1,312 across 25 hospitalsMO$1,312Kentucky: median $971 across 13 hospitalsKY$971West Virginia: median $1,150 across 10 hospitalsWV$1,150Virginia: median $1,857 across 26 hospitalsVA$1,857Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $4,972 across 13 hospitalsAZ$4,972New Mexico: median $1,416 across 11 hospitalsNM$1,416Kansas: median $1,235 across 19 hospitalsKS$1,235Arkansas: median $979 across 10 hospitalsAR$979Tennessee: median $942 across 18 hospitalsTN$942North Carolina: median $1,259 across 36 hospitalsNC$1,259South Carolina: median $3,466 across 32 hospitalsSC$3,466Oklahoma: median $891 across 35 hospitalsOK$891Louisiana: median $895 across 30 hospitalsLA$895Mississippi: median $721 across 21 hospitalsMS$721Alabama: median $1,448 across 12 hospitalsAL$1,448Georgia: median $1,841 across 32 hospitalsGA$1,841Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,811 across 114 hospitalsTX$1,811Florida: median $4,164 across 49 hospitalsFL$4,164
Cash price by state, most expensive first. National median $1,773. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ13$4,972+180%$1,904 – $4,972
Florida FL49$4,164+135%$1,487 – $4,798
Massachusetts MA33$4,063+129%$1,418 – $7,197
South Carolina SC32$3,466+95%$2,639 – $3,556
New Jersey NJ34$3,093+74%$1,641 – $5,741
Idaho ID11$3,052+72%$923 – $4,054
California CA101$2,119+20%$1,504 – $4,631
Pennsylvania PA64$2,046+15%$655 – $3,190
New York NY60$1,937+9%$1,585 – $3,762
Virginia VA26$1,857+5%$1,782 – $2,435
Georgia GA32$1,841+4%$1,244 – $3,170
Indiana IN15$1,820+3%$653 – $1,991
Texas TX114$1,811+2%$1,346 – $2,505
Wisconsin WI61$1,789+1%$1,003 – $2,708
Minnesota MN49$1,7760%$1,000 – $2,683
Ohio OH47$1,7690%$1,189 – $4,429
Illinois IL54$1,735−2%$653 – $2,783
Oregon OR37$1,668−6%$1,078 – $2,965
Connecticut CT14$1,592−10%$1,106 – $3,855
North Dakota ND10$1,571−11%$770 – $2,442
Michigan MI50$1,537−13%$843 – $2,133
Washington WA41$1,512−15%$704 – $2,648
Alabama AL12$1,448−18%$891 – $1,933
New Mexico NM11$1,416−20%$479 – $2,740
Missouri MO25$1,312−26%$701 – $5,353
North Carolina NC36$1,259−29%$1,230 – $2,234
Iowa IA27$1,236−30%$568 – $2,638
Kansas KS19$1,235−30%$864 – $3,366
Colorado CO27$1,225−31%$938 – $2,168
Maine ME13$1,212−32%$518 – $1,674
West Virginia WV10$1,150−35%$444 – $1,982
Nebraska NE27$983−45%$713 – $1,567
Arkansas AR10$979−45%$479 – $979
Kentucky KY13$971−45%$579 – $1,873
Tennessee TN18$942−47%$440 – $1,183
Louisiana LA30$895−50%$600 – $1,556
Oklahoma OK35$891−50%$744 – $1,835
Mississippi MS21$721−59%$413 – $865
New Hampshire NH10$605−66%$346 – $1,309
Utah UT23$563−68%$507 – $2,166
South Dakota SD9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not 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 $1,773.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,086$1,784$988 – $3,466
Children’s27$2,180$1,630 – $3,366
Critical access259$1,571$721 – $2,708
Ownership
For-profit123$1,799$998 – $4,316
Government198$1,429$879 – $2,564
Non-profit1,051$1,789$948 – $3,252
System affiliation
Part of a system1,165$1,789$983 – $3,284
Independent208$1,562$770 – $2,472

Cash price vs list price

Median list price (chargemaster)$3,049
Median cash price$1,773
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

1,087 hospitals filed a usable inpatient cash price for this code. The median is $1,792 and the average of the middle 60% is $1,910; most fall between $948 and $3,463.

Cash price percentiles, inpatient, across 1,087 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
$613$1,088$1,792$3,049$4,631

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($613 vs $4,631).

Of the 1,153 hospitals that filed this code inpatient, 1,087 gave a usable cash price; 30 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

1,373 of the 3,956 hospitals with a price file in our corpus (35%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,464 hospitals that filed this code at all gave us
Usable cash price — counted1,373
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded40
Hospitals that filed this code1,464

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

Hospitals file this code under descriptions such as Rpr Lip Fth Over One-Half Vert Height/Complex.

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 repair, more than half the lip height (CPT 40654) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40654-full-thickness-lip-repair-more-than-half-the-lip-height