Repair of mouth laceration at AMH Cath Labs LLC

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

40830 MOUTH REPAIR <2.0 CM

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $287 is 22% below the median hospital's median price ($365), higher than 34% of the 1,839 hospitals reporting CPT 40830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 40830 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 35 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
3	WellCare managed medicaid fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
4	Molina managed medicaid fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
5	Aetna managed medicaid fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
8	Blue Cross Blue Shield exchange case rate · outpatient	$234	$234	—	—	—	$234 – $234
9	Blue Cross Blue Shield medicare advantage case rate · outpatient	$238	$238	—	—	—	$238 – $238
10	Humana medicare advantage case rate · outpatient	$248	$248	—	—	—	$248 – $248
11	Humana medicare advantage ppo case rate · outpatient	$248	$248	—	—	—	$248 – $248
12	Molina medicare advantage case rate · outpatient	$250	$250	—	—	—	$250 – $250
13	WellCare medicare advantage hmo case rate · outpatient	$250	$250	—	—	—	$250 – $250
14	WellCare medicare advantage mmp case rate · outpatient	$262	$262	—	—	—	$262 – $262
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$264	$264	—	—	—	$264 – $264
16	UnitedHealthcare medicare advantage ppo case rate · outpatient	$265	$265	—	—	—	$265 – $265
17	UnitedHealthcare medicare advantage hmo case rate · outpatient	$269	$269	—	—	—	$269 – $269
18	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$270	$270	—	—	—	$270 – $270
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
20	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
21	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$332	$332	—	—	—	$332 – $332
22	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
23	Aetna asa percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
24	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
25	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$356	$356	—	—	—	$356 – $356

Page 1 of 2 · 35 rates

Last updated: Apr 21, 2026

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