Price Checker / CPT 41000

How much does Drainage Of Mouth Lesion cost?

CPT 41000 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 26x the fair price — among the most extreme markups. Dispute this.

Fair price

$240–$480

What this should cost

With insurance

~$2,250

Typical out-of-pocket

Overcharged if over

$600

Push back above this

The average hospital charge of $9,497 is $9,137 over the fair price (about 26x 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.

HospitalGross ChargeCash Ratevs Medicare
AnMed Health

ANDERSON, SC

5861%
AnMed Health North Campus

Anderson, SC

5861%

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About Drainage Of Mouth Lesion

CPT code 41000 refers to drainage of mouth lesion (billing description: "Drainage of mouth lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $103 in a facility (hospital or surgery center) and $159 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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