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

Complex removal of a mouth lining growth including muscle

CPT 40816the billing code this page is about

Surgical removal of a lesion from the lining inside the lip or cheek that also requires removing underlying muscle tissue.

Hospitals typically charge $2,273 cash for this outpatient procedure — the median across 380 hospitals that filed a usable cash price; the average of the middle 60% is $2,785. Most fall between $672 and $5,855 (20th–80th percentile).

Hospitals
380
States
46
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 380 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
$472$799$2,273$5,269$8,795

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($472 vs $8,795).

How the prices are spread

$382 – $523: 33 hospitals$382$523 – $716: 33 hospitals$716 – $980: 31 hospitals$716$980 – $1,341: 35 hospitals$1,341 – $1,835: 20 hospitals$1,341$1,835 – $2,512: 24 hospitals$2,512 – $3,439: 13 hospitals$2,512$3,439 – $4,707: 54 hospitals$4,707 – $6,443: 57 hospitals$4,707$6,443 – $8,820: 45 hospitals$6,443median $2,273price bands are equal on a log scale
Hospitals per price band (345 of 380 — the bands cover the 5th to 95th percentile)
FromToHospitals
$382$52333
$523$71633
$716$98031
$980$1,34135
$1,341$1,83520
$1,835$2,51224
$2,512$3,43913
$3,439$4,70754
$4,707$6,44357
$6,443$8,82045

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$2,273
Cash as a multiple of Medicare0.67×

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 $2,273.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 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: median $1,651 across 14 hospitalsMN$1,651Illinois: median $590 across 14 hospitalsIL$590Wisconsin: median $2,273 across 17 hospitalsWI$2,273Michigan: median $430 across 24 hospitalsMI$430New York: median $3,838 across 32 hospitalsNY$3,838Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $990 across 16 hospitalsIA$990Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $980 across 13 hospitalsOH$980Pennsylvania: median $5,036 across 11 hospitalsPA$5,036New Jersey: median $4,327 across 31 hospitalsNJ$4,327Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $8,820 across 31 hospitalsCA$8,820Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,850 across 13 hospitalsVA$1,850Maryland: 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 6 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: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $498 across 13 hospitalsOK$498Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $5,239 across 21 hospitalsTX$5,239Florida: median $5,571 across 15 hospitalsFL$5,571
Cash price by state, most expensive first. National median $2,273. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA31$8,820+288%$1,899 – $8,820
Florida FL15$5,571+145%$980 – $7,761
Texas TX21$5,239+130%$5,088 – $5,239
Pennsylvania PA11$5,036+122%$3,802 – $6,210
New Jersey NJ31$4,327+90%$3,593 – $5,419
New York NY32$3,838+69%$968 – $3,935
Wisconsin WI17$2,2730%$2,231 – $6,178
Virginia VA13$1,850−19%$206 – $7,788
Minnesota MN14$1,651−27%$858 – $1,651
Iowa IA16$990−56%$990 – $990
Ohio OH13$980−57%$448 – $1,119
Illinois IL14$590−74%$530 – $3,334
Oklahoma OK13$498−78%$498 – $6,612
Michigan MI24$430−81%$430 – $2,354
Georgia GA8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $2,273.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care324$3,334$706 – $6,103
Children’s10fewer than 20 hospitals
Critical access45$1,651$590 – $5,239
Ownership
For-profit35$1,899$590 – $5,540
Government54$2,154$671 – $5,571
Non-profit290$2,354$712 – $6,178
System affiliation
Part of a system313$3,339$737 – $6,178
Independent67$986$532 – $4,783

Cash price vs list price

Median list price (chargemaster)$1,876
Median cash price$2,273
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

213 hospitals filed a usable inpatient cash price for this code. The median is $1,119 and the average of the middle 60% is $2,294; most fall between $590 and $6,210.

Cash price percentiles, inpatient, across 213 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
$434$672$1,119$5,571$8,820

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($434 vs $8,820).

Of the 237 hospitals that filed this code inpatient, 213 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 4 a list price only.

How complete is this

380 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 426 hospitals that filed this code at all gave us
Usable cash price — counted380
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded5
Hospitals that filed this code426

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 Lesion Mucosa&Sbmcsl Vestibule Cplx Exc Musc.

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, “Complex removal of a mouth lining growth including muscle (CPT 40816) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40816-complex-removal-of-a-mouth-lining-growth-including-muscle