Removal or repair of mouth lesion at Ascension Seton

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

EXCISE/REPAIR MOUTH LESION

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $164 is 90% below the median hospital's median price ($1.7k), higher than 2% of the 1,771 hospitals reporting CPT 40812. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 40812 at Ascension Seton

Negotiated rates from the hospital’s own file: 5 payers, 26 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 3697_chirp blue cross star (nw) inpatient 20240901 fee schedule · both	$143	$143	—	—	—	$143 – $143
2	Blue Cross Blue Shield 4223_chirp blue cross star (nw) outpatient 20241201 fee schedule · both	$143	$143	—	—	—	$143 – $143
3	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
4	UnitedHealthcare 3741_chirp uhc star (nw) inpatient 20240901 fee schedule · both	$150	$150	—	—	—	$150 – $150
5	UnitedHealthcare 3752_chirp uhc star plus (nw) inpatient 20240901 fee schedule · both	$150	$150	—	—	—	$150 – $150
6	UnitedHealthcare 4257_chirp uhc star (nw) outpatient 20241201 fee schedule · both	$150	$150	—	—	—	$150 – $150
7	UnitedHealthcare 4268_chirp uhc star plus (nw) outpatient 20241201 fee schedule · both	$150	$150	—	—	—	$150 – $150
8	UnitedHealthcare 4315_uhc star kids (nw) outpatient 20241201 fee schedule · both	$150	$150	—	—	—	$150 – $150
9	UnitedHealthcare 4326_uhc star kids (nw) inpatient 20240901 fee schedule · both	$150	$150	—	—	—	$150 – $150
10	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
11	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
12	Blue Cross Blue Shield 4172_blue cross chip (nw) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
13	Blue Cross Blue Shield 4172_blue cross chip/star kids (nw) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
14	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
15	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
16	Blue Cross Blue Shield 5011_blue cross star kids (nw) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
17	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
18	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
19	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
20	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
21	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
22	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$207	$207	—	—	—	$207 – $207
23	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
24	Humana 206_humana hmo custom 20140201 other · outpatient	$969	$969	—	—	—	$969 – $969
25	Oscar 4511_oscar health plan 20251001 other · both	$1k	$1k	—	—	—	$1k – $1k

Page 1 of 2 · 26 rates

Last updated: Jan 1, 2026

Compare to other hospitals

See Removal or repair of mouth lesion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.