Drainage of a mouth lesion

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DRAIN ABCESS/CYST/HEMATOMA VESTIBULE MTH COMPLICATED

Payers reporting CPT 40801

Payer pricing summary

Low

$259

Average

$1.2k

Median

$922

High

$4.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +33 other terms	516	$513	$1.0k	$1.6k	152%	—	$1 – $17.9k
2	Aetna fee schedule · outpatient · +33 other terms	458	$586	$1.5k	$2.5k	161%	—	$1 – $26.6k
3	Humana fee schedule · outpatient · +29 other terms	358	$512	$688	$972	141%	—	$1 – $12.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	352	$938	$1.5k	$2.1k	135%	—	$0 – $22.1k
5	Cigna case rate · outpatient · +25 other terms	308	$3.7k	$5.6k	$6.8k	123%	—	$1 – $40.7k
6	Molina fee schedule · outpatient · +24 other terms	219	$408	$381	$307	81%	—	$1 – $1.9k
7	WellCare fee schedule · outpatient · +17 other terms	161	$514	$620	$544	88%	—	$161 – $4.3k
8	Oscar case rate · outpatient · +18 other terms	137	$3.1k	$2.5k	$1.1k	43%	—	$796 – $7.5k
9	Anthem fee schedule · outpatient · +22 other terms	120	$556	$968	$1.6k	165%	—	$159 – $11.5k
10	Kaiser fee schedule · outpatient · +18 other terms	99	$680	$926	$805	87%	—	$45 – $4.3k
11	Ambetter facility · fee schedule · outpatient · +15 other terms	82	$1.0k	$1.1k	$975	88%	—	$245 – $8.2k
12	Aetna Better Health fee schedule · outpatient · +17 other terms	70	$236	$242	$50	21%	—	$195 – $491
13	Devoted fee schedule · outpatient · +10 other terms	68	$525	$500	$110	22%	—	$199 – $601
14	Caresource fee schedule · outpatient · +14 other terms	57	$296	$590	$836	142%	—	$1 – $4.3k
15	Optum fee schedule · outpatient · +17 other terms	53	$469	$1.8k	$4.2k	231%	—	$199 – $21.9k
16	Healthcare Highways case rate · outpatient · +2 other terms	52	$1.9k	$1.8k	$448	25%	—	$1.2k – $2.3k
17	MultiPlan fee schedule · outpatient · +21 other terms	51	$882	$1.0k	$724	70%	—	$253 – $7.3k
18	Superior Healthplan case rate · outpatient · +5 other terms	38	$948	$942	$26	3%	—	$765 – $948
19	Amerihealth Caritas case rate · outpatient · +8 other terms	33	$496	$2.1k	$1.5k	71%	—	$468 – $3.7k
20	Clover fee schedule · outpatient · +8 other terms	32	$569	$1.1k	$1.2k	117%	—	$487 – $4.4k
21	Tricare fee schedule · outpatient · +15 other terms	32	$595	$1.2k	$1.6k	133%	—	$186 – $5.1k
22	First Health fee schedule · outpatient · +21 other terms	29	$563	$1.5k	$2.5k	170%	—	$187 – $7.6k
23	Cigna Healthspring fee schedule · outpatient · +6 other terms	28	$197	$340	$154	45%	—	$197 – $535
24	Medica case rate · outpatient · +19 other terms	28	$917	$1.1k	$668	63%	—	$320 – $2.9k
25	Bcbs Tx fee schedule · outpatient · +5 other terms	26	$587	$582	$237	41%	—	$187 – $1.5k

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