Price Checker / CPT 40800
How much does Drainage Of Mouth Lesion cost?
CPT 40800 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.7x the fair price. You have grounds to ask for a reduction.
Fair price
$640–$750
What this should cost
With insurance
~$2,150
Typical out-of-pocket
Overcharged if over
$940
Push back above this
The average hospital charge of $1,891 is $1,191 over the fair price (about 2.7x the fair rate).
What hospitals charge for Drainage Of Mouth Lesion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Mid Coast Medical Center - Trinity Trinity, TX | $1,891 | — | 802% |
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 Drainage Of Mouth Lesion
CPT code 40800 refers to drainage of mouth lesion (billing description: "Drainage of mouth lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $116 in a facility (hospital or surgery center) and $210 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.