Price Checker / CPT 41005
How much does Drainage Of Mouth Lesion cost?
CPT 41005 · Based on 2026 Medicare rates and hospital-published pricing
A fair cash price for this is roughly $590–$700.
Fair price
$590–$700
What this should cost
With insurance
~$2,250
Typical out-of-pocket
Overcharged if over
$880
Push back above this
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 41005 refers to drainage of mouth lesion (billing description: "Drainage of mouth lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $112 in a facility (hospital or surgery center) and $231 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.