Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Drg Absc Cst Hmtma Vestibule Mouth Comp
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.3k
Median
$674
High
$11.7k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 220 hospitals; the 90th percentile is 6.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Covenant Medical Center Inc Saginaw, MI | $499 | $499 | — | — | 2–20 | $499 – $499 |
| 2 | Tufts Medical Center BOSTON, MA | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 3 | University of Virginia Haymarket Medical Center Haymarket, VA | $1.6k | $1.5k | $186 | 13% | — | $1.1k – $1.6k |
| 4 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $526 | $588 | $174 | 30% | — | $516 – $1.1k |
| 5 | San Joaquin Community Hospital Bakersfield, CA | $694 | $694 | — | — | — | $694 – $694 |
| 6 | Laird Hospital, Inc. Union, MS | $1.4k | $1.4k | $64 | 4% | — | $1.4k – $1.6k |
| 7 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $496 | $694 | $280 | 40% | — | $496 – $1.1k |
| 8 | Henry Ford Health Novi, MI | $499 | $459 | $122 | 27% | — | $289 – $689 |
| 9 | Victor Valley Global Medical Center Victorville, CA | $652 | $559 | $249 | 44% | — | $181 – $971 |
| 10 | The Queens Medical Center Ewa Beach, HI | $634 | $874 | $412 | 47% | — | $634 – $1.8k |
Ask Claude or any MCP client for CPT 40801 pricing at a specific hospital — see how to connect.