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
Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr
Low
$10
Average
$4.6k
Median
$3.3k
High
$45.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
856 hospitals; the 90th percentile is 34.4× 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.
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1,179 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $781 | $744 | $129 | 17% | 4–40 | $538 – $874 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $740 | $705 | $122 | 17% | 4–40 | $510 – $828 |
| 3 | Brigham and Women's Hospital Boston, MA other · both | 1 | $3.9k | $3.9k | — | — | 2–20 | $3.9k – $3.9k |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5.2k | $5.2k | $3.0k | 57% | 2–20 | $2.2k – $8.2k |
| 5 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 6 | $119 | $213 | $144 | 68% | 2–20 | $111 – $457 |
| 6 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 7 | Boston Medical Center Boston, MA fee schedule · both | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 8 | Brigham and Women's Hospital Boston, MA other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 9 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $340 | $340 | — | — | 1–10 | $340 – $340 |
| 10 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $16.2k | $15.5k | $7.3k | 47% | 1–10 | $1.3k – $21.6k |
| 11 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 12 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 13 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 14 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $4.0k | $4.0k | $50 | 1% | 1–10 | $3.9k – $4.0k |
| 15 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 16 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 2 | $3.3k | $3.3k | $49 | 1% | 1–10 | $3.3k – $3.4k |
| 17 | St Joseph Mercy Oakland Pontiac, MI facility · other · outpatient | 2 | $2.5k | $2.5k | $693 | 27% | 1–10 | $1.9k – $3.2k |
| 18 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 19 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $425 | $425 | $22 | 5% | — | $402 – $447 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $254 | $240 | $63 | 26% | — | $120 – $304 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $358 | $358 | $30 | 8% | — | $328 – $388 |
| 23 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA case rate · outpatient | 2 | $667 | $667 | $35 | 5% | — | $632 – $703 |
| 24 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $254 | $226 | $58 | 26% | — | $119 – $279 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 2 | $444 | $444 | $151 | 34% | — | $293 – $595 |
← Payers reporting CPT 40810 · Snapshot 20261112T181611Z-3fa9fb76