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

Removal of a tissue band inside the lip or cheek

CPT 40819the billing code this page is about

Surgical removal of the fold of tissue that connects the inside of the lip or cheek to the gum.

Hospitals typically charge $1,309 cash for this outpatient procedure — the median across 773 hospitals that filed a usable cash price; the average of the middle 60% is $1,290. Most fall between $451 and $2,621 (20th–80th percentile).

Hospitals
773
States
48
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 773 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
$288$551$1,309$2,119$4,054

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($288 vs $4,054).

How the prices are spread

$201 – $280: 45 hospitals$201$280 – $391: 56 hospitals$391 – $545: 60 hospitals$391$545 – $761: 86 hospitals$761 – $1,063: 71 hospitals$761$1,063 – $1,484: 95 hospitals$1,484 – $2,071: 133 hospitals$1,484$2,071 – $2,891: 61 hospitals$2,891 – $4,036: 56 hospitals$2,891$4,036 – $5,634: 51 hospitals$4,036median $1,309price bands are equal on a log scale
Hospitals per price band (714 of 773 — the bands cover the 5th to 95th percentile)
FromToHospitals
$201$28045
$280$39156
$391$54560
$545$76186
$761$1,06371
$1,063$1,48495
$1,484$2,071133
$2,071$2,89161
$2,891$4,03656
$4,036$5,63451

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,585
Median cash price$1,309
Cash as a multiple of Medicare0.83×

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 $1,309.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $973 across 14 hospitalsWA$973Idaho: median $1,841 across 11 hospitalsID$1,841Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,041 across 19 hospitalsMN$1,041Illinois: median $752 across 36 hospitalsIL$752Wisconsin: median $1,309 across 45 hospitalsWI$1,309Michigan: median $444 across 35 hospitalsMI$444New York: median $1,753 across 44 hospitalsNY$1,753Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $762 across 16 hospitalsOR$762Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $699 across 26 hospitalsIA$699Indiana: median $352 across 13 hospitalsIN$352Ohio: median $1,533 across 46 hospitalsOH$1,533Pennsylvania: median $1,357 across 26 hospitalsPA$1,357New Jersey: median $2,007 across 35 hospitalsNJ$2,007Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,567 across 47 hospitalsCA$3,567Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $745 across 13 hospitalsNE$745Missouri: median $670 across 25 hospitalsMO$670Kentucky: median $1,383 across 16 hospitalsKY$1,383West Virginia: median $1,606 across 16 hospitalsWV$1,606Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $451 across 16 hospitalsKS$451Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $538 across 10 hospitalsTN$538North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,915 across 10 hospitalsSC$1,915Oklahoma: median $327 across 20 hospitalsOK$327Louisiana: median $1,005 across 22 hospitalsLA$1,005Mississippi: median $926 across 18 hospitalsMS$926Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,669 across 61 hospitalsTX$1,669Florida: median $2,216 across 26 hospitalsFL$2,216
Cash price by state, most expensive first. National median $1,309. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA47$3,567+173%$878 – $5,634
Florida FL26$2,216+69%$1,438 – $3,482
New Jersey NJ35$2,007+53%$1,641 – $5,419
South Carolina SC10$1,915+46%$1,603 – $3,111
Idaho ID11$1,841+41%$962 – $4,054
New York NY44$1,753+34%$434 – $2,785
Texas TX61$1,669+28%$1,109 – $1,970
West Virginia WV16$1,606+23%$597 – $2,195
Ohio OH46$1,533+17%$653 – $2,248
Kentucky KY16$1,383+6%$275 – $1,844
Pennsylvania PA26$1,357+4%$130 – $2,238
Wisconsin WI45$1,3090%$577 – $1,470
Minnesota MN19$1,041−20%$494 – $1,078
Louisiana LA22$1,005−23%$735 – $1,759
Washington WA14$973−26%$501 – $2,062
Mississippi MS18$926−29%$378 – $1,200
Oregon OR16$762−42%$499 – $860
Illinois IL36$752−43%$376 – $3,039
Nebraska NE13$745−43%$509 – $1,969
Iowa IA26$699−47%$496 – $699
Missouri MO25$670−49%$417 – $1,674
Tennessee TN10$538−59%$289 – $1,088
Kansas KS16$451−66%$225 – $812
Michigan MI35$444−66%$201 – $2,133
Indiana IN13$352−73%$275 – $962
Oklahoma OK20$327−75%$327 – $1,828
Alabama AL9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Delaware DE1not 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 $1,309.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care586$1,494$509 – $3,097
Children’s24$890$307 – $1,635
Critical access160$655$378 – $1,470
Ownership
For-profit62$1,841$636 – $3,097
Government143$860$404 – $1,904
Non-profit565$1,356$451 – $2,717
System affiliation
Part of a system613$1,470$504 – $2,993
Independent160$659$355 – $1,841

Cash price vs list price

Median list price (chargemaster)$1,908
Median cash price$1,309
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

466 hospitals filed a usable inpatient cash price for this code. The median is $1,330 and the average of the middle 60% is $1,302; most fall between $417 and $2,545.

Cash price percentiles, inpatient, across 466 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
$300$557$1,330$2,186$4,007

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($300 vs $4,007).

Of the 501 hospitals that filed this code inpatient, 466 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 15 a list price only.

How complete is this

773 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 840 hospitals that filed this code at all gave us
Usable cash price — counted773
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded17
Hospitals that filed this code840

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 Exc Frenum Labial/Buccal.

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 a tissue band inside the lip or cheek (CPT 40819) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40819-removal-of-a-tissue-band-inside-the-lip-or-cheek