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

Unlisted procedure on the lip and gum fold of the mouth

CPT 40899the billing code this page is about

Used for a procedure on the vestibule of the mouth, the space between the lips or cheeks and the gums, that has no specific billing code of its own.

Hospitals typically charge $390 cash for this outpatient procedure — the median across 199 hospitals that filed a usable cash price; the average of the middle 60% is $454. Most fall between $242 and $1,081 (20th–80th percentile).

Hospitals
199
States
32
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 199 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
$178$266$390$683$4,627

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($178 vs $4,627).

How the prices are spread

$154 – $219: 23 hospitals$154$219 – $314: 47 hospitals$314 – $449: 25 hospitals$314$449 – $641: 38 hospitals$641 – $916: 15 hospitals$641$916 – $1,310: 8 hospitals$1,310 – $1,873: 8 hospitals$1,310$1,873 – $2,677: 1 hospitals$2,677 – $3,827: 3 hospitals$2,677$3,827 – $5,471: 14 hospitals$3,827median $390price bands are equal on a log scale
Hospitals per price band (182 of 199 — the bands cover the 5th to 95th percentile)
FromToHospitals
$154$21923
$219$31447
$314$44925
$449$64138
$641$91615
$916$1,3108
$1,310$1,8738
$1,873$2,6771
$2,677$3,8273
$3,827$5,47114

Against Medicare

Medicare pays (OPPS 2026, national rate)$242
Median cash price$390
Cash as a multiple of Medicare1.61×

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 $390.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $5,471 across 12 hospitalsMI$5,471New York: median $275 across 21 hospitalsNY$275Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 4 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $385 across 10 hospitalsOH$385Pennsylvania: median $285 across 12 hospitalsPA$285New Jersey: median $600 across 24 hospitalsNJ$600Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $571 across 25 hospitalsCA$571Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $461 across 13 hospitalsVA$461Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $187 across 24 hospitalsTX$187Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $390. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Michigan MI12$5,471+1302%$326 – $5,471
New Jersey NJ24$600+54%$257 – $5,419
California CA25$571+46%$571 – $571
Virginia VA13$461+18%$231 – $911
Ohio OH10$385−1%$366 – $1,409
Pennsylvania PA12$285−27%$235 – $334
New York NY21$275−30%$275 – $296
Texas TX24$187−52%$168 – $646
Illinois IL7not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Oregon OR4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Washington WA1not 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 $390.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care183$446$254 – $937
Children’s1fewer than 20 hospitals
Critical access15fewer than 20 hospitals
Ownership
For-profit14fewer than 20 hospitals
Government23$275$233 – $461
Non-profit162$461$257 – $1,109
System affiliation
Part of a system174$390$231 – $1,081
Independent25$376$266 – $683

Cash price vs list price

Median list price (chargemaster)$896
Median cash price$390
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

115 hospitals filed a usable inpatient cash price for this code. The median is $461 and the average of the middle 60% is $431; most fall between $187 and $690.

Cash price percentiles, inpatient, across 115 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
$168$231$461$646$1,614

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($168 vs $1,614).

Of the 132 hospitals that filed this code inpatient, 115 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

199 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 219 hospitals that filed this code at all gave us
Usable cash price — counted199
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 — excluded9
Hospitals that filed this code219

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

Hospitals file this code under descriptions such as PR Closure of Intraoral Fistula C/T 42600.

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, “Unlisted procedure on the lip and gum fold of the mouth (CPT 40899) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-40899-unlisted-procedure-on-the-lip-and-gum-fold-of-the-mouth