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
HC CLSR LAC VEST MOUTH<=2.5 CM
Rochester, MN
See all hospitals reporting CPT 40830 →Price type
Mayo Clinic’s median price of $878 is 140% above the median hospital's median price ($365), higher than 83% of the 1,839 hospitals reporting CPT 40830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 141 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 | $94 | $94 | — | — | — | $94 – $94 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 12 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $135 | $135 | — | — | — | $135 – $135 |
| 13 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 15 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 16 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 17 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 18 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 19 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 20 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 21 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 22 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $203 | $203 | — | — | — | $203 – $203 |
| 23 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 24 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 25 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · fee schedule · both | $259 | $259 | — | — | — | $259 – $259 |
Last updated: Aug 14, 2026
See Repair of mouth laceration pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.