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

Complex reshaping of gum and lip fold

CPT 40845the billing code this page is about

Extensive surgery on the fold between the lip or cheek and the gum that also includes extending the bony ridge or repositioning muscle attachments.

Hospitals typically charge $5,339 cash for this outpatient procedure — the median across 231 hospitals that filed a usable cash price; the average of the middle 60% is $4,964. Most fall between $1,992 and $8,179 (20th–80th percentile).

Hospitals
231
States
39
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 231 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
$1,569$2,560$5,339$7,027$14,319

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($1,569 vs $14,319).

How the prices are spread

$1,220 – $1,560: 11 hospitals$1,220$1,560 – $1,996: 27 hospitals$1,996 – $2,554: 10 hospitals$1,996$2,554 – $3,267: 14 hospitals$3,267 – $4,179: 28 hospitals$3,267$4,179 – $5,346: 18 hospitals$5,346 – $6,840: 40 hospitals$5,346$6,840 – $8,750: 30 hospitals$8,750 – $11,193: 10 hospitals$8,750$11,193 – $14,319: 24 hospitals$11,193median $5,339price bands are equal on a log scale
Hospitals per price band (212 of 231 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,220$1,56011
$1,560$1,99627
$1,996$2,55410
$2,554$3,26714
$3,267$4,17928
$4,179$5,34618
$5,346$6,84040
$6,840$8,75030
$8,750$11,19310
$11,193$14,31924

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$5,339
Cash as a multiple of Medicare0.88×

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 $5,339.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,055 across 13 hospitalsIL$2,055Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $1,569 across 18 hospitalsMI$1,569New York: median $7,000 across 21 hospitalsNY$7,000Massachusetts: 2 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: no hospital in the corpus filed a usable priceSDIowa: median $3,640 across 14 hospitalsIA$3,640Indiana: no hospital in the corpus filed a usable priceINOhio: median $5,034 across 10 hospitalsOH$5,034Pennsylvania: median $8,540 across 11 hospitalsPA$8,540New Jersey: median $6,465 across 24 hospitalsNJ$6,465Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,319 across 22 hospitalsCA$14,319Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,992 across 12 hospitalsOK$1,992Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $6,741 across 18 hospitalsTX$6,741Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,339. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$14,319+168%$14,319 – $14,319
Pennsylvania PA11$8,540+60%$3,968 – $11,147
New York NY21$7,000+31%$5,443 – $7,027
Texas TX18$6,741+26%$6,741 – $6,741
New Jersey NJ24$6,465+21%$4,881 – $6,839
Ohio OH10$5,034−6%$3,071 – $5,034
Iowa IA14$3,640−32%$3,640 – $3,640
Illinois IL13$2,055−62%$1,111 – $3,640
Oklahoma OK12$1,992−63%$1,992 – $1,992
Michigan MI18$1,569−71%$1,569 – $8,140
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not 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 $5,339.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care204$5,741$2,158 – $8,586
Children’s6fewer than 20 hospitals
Critical access20$3,640$1,220 – $6,741
Ownership
For-profit20$5,330$1,111 – $8,913
Government30$5,355$2,298 – $7,000
Non-profit180$5,110$1,992 – $8,586
System affiliation
Part of a system190$5,504$1,992 – $8,586
Independent41$3,500$2,158 – $8,044

Cash price vs list price

Median list price (chargemaster)$5,210
Median cash price$5,339
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

125 hospitals filed a usable inpatient cash price for this code. The median is $4,245 and the average of the middle 60% is $4,797; most fall between $1,992 and $12,739.

Cash price percentiles, inpatient, across 125 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
$1,408$2,303$4,245$8,586$14,319

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,408 vs $14,319).

Of the 142 hospitals that filed this code inpatient, 125 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

231 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 260 hospitals that filed this code at all gave us
Usable cash price — counted231
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded7
Hospitals that filed this code260

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 Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg.

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 reshaping of gum and lip fold (CPT 40845) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40845-complex-reshaping-of-gum-and-lip-fold