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.
Generation details were not recorded for this description.
Original text from hospital filings
HC 40800 DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL
Orange, TX
See all hospitals reporting CPT 40800 →Price type
CHRISTUS Hospital - Orange’s median price of $677 is 12% below the median hospital's median price ($767), higher than 36% of the 2,058 hospitals reporting CPT 40800. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 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 | Cigna new business case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 2 | UnitedHealthcare chip km fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 3 | UnitedHealthcare star kid km fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 4 | UnitedHealthcare star km fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 5 | UnitedHealthcare star plus km fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 6 | Molina chip km fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Molina star km fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 8 | Molina star plus km fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 9 | Cigna ppo case rate · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 10 | Humana choicecare other · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 11 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 12 | Bcbs Tx hmo fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 13 | Bcbs Tx heb fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 14 | Bcbs Tx ppo fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 16 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $550 | $550 | — | — | — | $550 – $550 |
| 17 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $550 | $550 | — | — | — | $550 – $550 |
| 18 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $550 | $550 | — | — | — | $550 – $550 |
| 19 | Aetna mm fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 20 | Bcbs Tx mm fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 21 | Humana gold choice mm fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 22 | Molina medicare adv mm fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 23 | UnitedHealthcare mm fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 24 | WellCare mm fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 25 | Devoted mm fee schedule · outpatient | $761 | $761 | — | — | — | $761 – $761 |
Last updated: Jan 13, 2026
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