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

Destruction of a growth in the mouth lining

CPT 40820the billing code this page is about

Destroying a lesion on the lining inside the lip or cheek using methods such as laser, freezing, electric current, or a chemical agent.

Hospitals typically charge $1,350 cash for this outpatient procedure — the median across 507 hospitals that filed a usable cash price; the average of the middle 60% is $1,855. Most fall between $347 and $4,564 (20th–80th percentile).

Hospitals
507
States
48
Filings dated
Jan 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 507 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
$221$415$1,350$3,838$7,996

The most expensive tenth of hospitals charges at least 36× what the cheapest tenth charges ($221 vs $7,996).

How the prices are spread

$154 – $230: 40 hospitals$154$230 – $343: 43 hospitals$343 – $512: 61 hospitals$343$512 – $765: 41 hospitals$765 – $1,141: 34 hospitals$765$1,141 – $1,704: 37 hospitals$1,704 – $2,544: 26 hospitals$1,704$2,544 – $3,798: 69 hospitals$3,798 – $5,671: 59 hospitals$3,798$5,671 – $8,466: 57 hospitals$5,671median $1,350price bands are equal on a log scale
Hospitals per price band (467 of 507 — the bands cover the 5th to 95th percentile)
FromToHospitals
$154$23040
$230$34343
$343$51261
$512$76541
$765$1,14134
$1,141$1,70437
$1,704$2,54426
$2,544$3,79869
$3,798$5,67159
$5,671$8,46657

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$1,350
Cash as a multiple of Medicare0.40×

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 $1,350.

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: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $913 across 18 hospitalsMN$913Illinois: median $771 across 24 hospitalsIL$771Wisconsin: median $1,305 across 28 hospitalsWI$1,305Michigan: median $338 across 32 hospitalsMI$338New York: median $3,838 across 34 hospitalsNY$3,838Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $736 across 13 hospitalsOR$736Nevada: 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 $638 across 25 hospitalsIA$638Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $547 across 15 hospitalsOH$547Pennsylvania: median $3,802 across 25 hospitalsPA$3,802New Jersey: median $4,881 across 29 hospitalsNJ$4,881Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,401 across 45 hospitalsCA$3,401Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $522 across 10 hospitalsNE$522Missouri: median $530 across 11 hospitalsMO$530Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $268 across 14 hospitalsOK$268Louisiana: median $1,457 across 13 hospitalsLA$1,457Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,642 across 23 hospitalsTX$2,642Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,350. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ29$4,881+262%$3,593 – $7,655
New York NY34$3,838+184%$2,101 – $5,009
Pennsylvania PA25$3,802+182%$105 – $6,634
California CA45$3,401+152%$2,159 – $8,008
Texas TX23$2,642+96%$782 – $2,642
Louisiana LA13$1,457+8%$431 – $2,609
Wisconsin WI28$1,305−3%$1,098 – $1,548
Minnesota MN18$913−32%$490 – $1,933
Illinois IL24$771−43%$226 – $4,209
Oregon OR13$736−45%$463 – $736
Iowa IA25$638−53%$398 – $638
Ohio OH15$547−59%$299 – $5,084
Missouri MO11$530−61%$390 – $4,323
Nebraska NE10$522−61%$257 – $611
Michigan MI32$338−75%$154 – $4,559
Oklahoma OK14$268−80%$268 – $6,025
Kansas KS9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,350.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care388$2,187$348 – $5,084
Children’s10fewer than 20 hospitals
Critical access108$614$338 – $1,933
Ownership
For-profit37$1,110$251 – $4,783
Government69$782$391 – $3,838
Non-profit400$1,542$347 – $5,009
System affiliation
Part of a system426$1,548$348 – $4,597
Independent81$716$298 – $4,209

Cash price vs list price

Median list price (chargemaster)$1,064
Median cash price$1,350
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

297 hospitals filed a usable inpatient cash price for this code. The median is $1,557 and the average of the middle 60% is $1,925; most fall between $293 and $5,483.

Cash price percentiles, inpatient, across 297 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
$234$421$1,557$3,933$8,008

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($234 vs $8,008).

Of the 331 hospitals that filed this code inpatient, 297 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

507 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 566 hospitals that filed this code at all gave us
Usable cash price — counted507
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
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 — excluded12
Hospitals that filed this code566

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 Dstrj Les/Scar Vestibule Mouth Physical Meths.

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, “Destruction of a growth in the mouth lining (CPT 40820) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40820-destruction-of-a-growth-in-the-mouth-lining