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
PR RPR CLEFT LIP PLSTC BILAT 1 STG
Rochester, MN
See all hospitals reporting CPT 40701 →Price type
Mayo Clinic’s median price of $7.3k is 19% above the median hospital's median price ($6.2k), higher than 66% of the 1,482 hospitals reporting CPT 40701. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 69 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $577 | $577 | — | — | — | $577 – $577 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $577 | $577 | — | — | — | $577 – $577 |
| 12 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 17 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 18 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 19 | Optum veteran affairs optum [1045] facility · other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 20 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 21 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 22 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 23 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 24 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 25 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
Last updated: Aug 14, 2026
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