Price Checker / CPT 40700
How much does Repair Cleft Lip/nasal cost?
CPT 40700 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about above the fair price. You have grounds to ask for a reduction.
Fair price
$4,350–$5,100
What this should cost
With insurance
~$3,750
Typical out-of-pocket
Overcharged if over
$6,400
Push back above this
The average hospital charge of $8,260 is $3,510 over the fair price.
What hospitals charge for Repair Cleft Lip/nasal
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Shriners Childrens Chicago , IL | $5,844 | — | 849% |
| Shriners Childrens Honolulu , HI | $7,807 | — | 849% |
| Shriners Childrens Philadelphia , PA | $12,038 | — | 849% |
| Shriners Childrens Portland , OR | $7,807 | — | 849% |
| Shriners Childrens Spokane , WA | $7,807 | — | 849% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Repair Cleft Lip/nasal
CPT code 40700 refers to repair cleft lip/nasal (billing description: "Repair cleft lip/nasal"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $912 in a facility (hospital or surgery center) and $912 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.