Price Checker / CPT 40810
How much does Excision Of Mouth Lesion cost?
CPT 40810 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 12x the fair price — among the most extreme markups. Dispute this.
Fair price
$320–$650
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$810
Push back above this
The average hospital charge of $5,836 is $5,346 over the fair price (about 12x the fair rate).
What hospitals charge for Excision 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 |
|---|---|---|---|
| Novant Health Forsyth Medical Center WINSTON-SALEM, NC | $7,976 | — | 3480% |
| DeWitt Hospital and Nursing Home , AR | $7,669 | $7,669 | 3449% |
| Henry County Hospital Napoleon, OH | $5,401 | — | 2399% |
| Franklin County Memorial Hospital FRANKLIN, MS | $2,300 | $2,300 | 964% |
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 Excision Of Mouth Lesion
CPT code 40810 refers to excision of mouth lesion (billing description: "Excision of mouth lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $115 in a facility (hospital or surgery center) and $216 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.