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

Cutting of the band of tissue under the upper lip

CPT 40806the billing code this page is about

A small incision releasing the fold of tissue that connects the inside of the lip to the gum.

Hospitals typically charge $426 cash for this outpatient procedure — the median across 738 hospitals that filed a usable cash price; the average of the middle 60% is $480. Most fall between $162 and $1,050 (20th–80th percentile).

Hospitals
738
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 738 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
$69$188$426$917$2,509

The most expensive tenth of hospitals charges at least 36× what the cheapest tenth charges ($69 vs $2,509).

How the prices are spread

$53 – $81: 52 hospitals$53$81 – $125: 32 hospitals$125 – $194: 77 hospitals$125$194 – $299: 109 hospitals$299 – $463: 82 hospitals$299$463 – $715: 108 hospitals$715 – $1,105: 104 hospitals$715$1,105 – $1,707: 43 hospitals$1,707 – $2,638: 40 hospitals$1,707$2,638 – $4,076: 20 hospitals$2,638median $426price bands are equal on a log scale
Hospitals per price band (667 of 738 — the bands cover the 5th to 95th percentile)
FromToHospitals
$53$8152
$81$12532
$125$19477
$194$299109
$299$46382
$463$715108
$715$1,105104
$1,105$1,70743
$1,707$2,63840
$2,638$4,07620

Against Medicare

Medicare pays (OPPS 2026, national rate)$551
Median cash price$426
Cash as a multiple of Medicare0.77×

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 $426.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $396 across 27 hospitalsWA$396Idaho: median $1,059 across 11 hospitalsID$1,059Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $491 across 33 hospitalsMN$491Illinois: median $329 across 32 hospitalsIL$329Wisconsin: median $363 across 50 hospitalsWI$363Michigan: median $222 across 41 hospitalsMI$222New York: median $603 across 47 hospitalsNY$603Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $282 across 23 hospitalsOR$282Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $742 across 10 hospitalsSD$742Iowa: median $243 across 33 hospitalsIA$243Indiana: median $169 across 10 hospitalsIN$169Ohio: median $374 across 24 hospitalsOH$374Pennsylvania: median $687 across 18 hospitalsPA$687New Jersey: median $3,986 across 32 hospitalsNJ$3,986Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,024 across 49 hospitalsCA$1,024Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $286 across 22 hospitalsNE$286Missouri: median $230 across 18 hospitalsMO$230Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $426 across 17 hospitalsWV$426Virginia: median $470 across 15 hospitalsVA$470Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $169 across 18 hospitalsKS$169Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $429 across 10 hospitalsNC$429South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $48 across 16 hospitalsOK$48Louisiana: median $344 across 13 hospitalsLA$344Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $510 across 35 hospitalsTX$510Florida: median $1,029 across 11 hospitalsFL$1,029
Cash price by state, most expensive first. National median $426. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ32$3,986+837%$564 – $5,110
Idaho ID11$1,059+149%$335 – $1,423
Florida FL11$1,029+142%$511 – $2,702
California CA49$1,024+141%$578 – $2,509
South Dakota SD10$742+74%$297 – $742
Pennsylvania PA18$687+62%$189 – $883
New York NY47$603+42%$254 – $1,021
Texas TX35$510+20%$286 – $1,013
Minnesota MN33$491+15%$94 – $760
Virginia VA15$470+10%$426 – $664
North Carolina NC10$429+1%$198 – $1,158
West Virginia WV17$4260%$102 – $689
Washington WA27$396−7%$199 – $900
Ohio OH24$374−12%$75 – $1,061
Wisconsin WI50$363−15%$188 – $714
Louisiana LA13$344−19%$223 – $799
Illinois IL32$329−23%$143 – $1,079
Nebraska NE22$286−33%$145 – $573
Oregon OR23$282−34%$183 – $1,228
Iowa IA33$243−43%$182 – $273
Missouri MO18$230−46%$139 – $1,190
Michigan MI41$222−48%$66 – $1,124
Kansas KS18$169−60%$89 – $351
Indiana IN10$169−60%$69 – $900
Oklahoma OK16$48−89%$48 – $1,038
Mississippi MS9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Connecticut CT2not 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 $426.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care520$554$177 – $1,350
Children’s25$281$98 – $601
Critical access193$243$134 – $573
Ownership
For-profit58$773$325 – $2,653
Government135$299$118 – $669
Non-profit545$448$164 – $1,047
System affiliation
Part of a system585$453$169 – $1,124
Independent153$335$94 – $850

Cash price vs list price

Median list price (chargemaster)$601
Median cash price$426
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

433 hospitals filed a usable inpatient cash price for this code. The median is $346 and the average of the middle 60% is $400; most fall between $139 and $920.

Cash price percentiles, inpatient, across 433 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
$67$169$346$730$1,423

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($67 vs $1,423).

Of the 471 hospitals that filed this code inpatient, 433 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

738 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 812 hospitals that filed this code at all gave us
Usable cash price — counted738
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded17
Hospitals that filed this code812

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 non-OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as Incision Labial Frenum Frenotomy.

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, “Cutting of the band of tissue under the upper lip (CPT 40806) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40806-cutting-of-the-band-of-tissue-under-the-upper-lip