Price Checker / CPT 40820
How much does Treatment Of Mouth Lesion cost?
CPT 40820 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 16x the fair price — among the most extreme markups. Dispute this.
Fair price
$380–$760
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$950
Push back above this
The average hospital charge of $9,031 is $8,461 over the fair price (about 16x the fair rate).
What hospitals charge for Treatment 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 |
|---|---|---|---|
| Bucktail Medical Center RENOVO, PA | $9,031 | $8,128 | 3481% |
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 Treatment Of Mouth Lesion
CPT code 40820 refers to treatment of mouth lesion (billing description: "Treatment of mouth lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $153 in a facility (hospital or surgery center) and $252 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.