CPT 40490 · 1,021 hospitals reporting

Biopsy of lip

The same procedure costs $52.29 at one hospital and $7,942 at another — a 152× spread for what's billed under the same code. Median: $342.

Cheapest published

$52.29

13 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,021 hospitals

$342

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$7,942

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

231 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
SURGICAL INSTITUTE OF READING	PA	$311	$342	$36.5	$14,555	5 insurers
MOSAIC LIFE CARE AT ST JOSEPH	MO	$400	$340	—	—	5 insurers
UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER	MO	$627	$345	—	—	5 insurers
GREENWICH HOSPITAL ASSOCIATION -	CT	$650	$338	—	—	5 insurers
UPHS MARQUETTE DLP HOSPITAL	MI	$559	$335	—	—	0 insurers
BROADLAWNS MEDICAL CENTER	IA	$350	$350	—	—	5 insurers
BRIDGEPORT HOSPITAL	CT	$650	$332	—	—	5 insurers
WEST VIRGINIA UNIVERSITY HOSPITALS, INC	WV	$662	$331	—	—	5 insurers
HOLY FAMILY MEMORIAL	WI	—	$353	$45.18	$629	0 insurers
REYNOLDS MEMORIAL HOSPITAL	WV	$656	$328	—	—	5 insurers
FROEDTERT SOUTH INC.	WI	$594	$327	—	—	5 insurers
COMMUNITY MEMORIAL HOSPITAL	WI	$594	$327	—	—	5 insurers
FROEDTERT MEMORIAL LUTHERAN HOSPITAL	WI	$594	$327	—	—	5 insurers
CHESHIRE MEDICAL CENTER	NH	$1,162	$321	—	—	5 insurers
CHESHIRE MEDICAL CENTER	NH	$1,162	$321	—	—	5 insurers
CHEYENNE REGIONAL MEDICAL CENTER	WY	$519	$363	—	—	4 insurers
CHI HEALTH - MERCY CORNING	IA	$758	$364	$455	$743	5 insurers
CHI HEALTH - MERCY CORNING	IA	$758	$364	$326	$743	5 insurers
CHI HEALTH MISSOURI VALLEY	IA	$758	$371	$432	$743	5 insurers
CHI HEALTH MISSOURI VALLEY	IA	$758	$371	$265	$743	5 insurers
JEFFERSON HEALTHCARE	WA	—	$309	—	—	0 insurers
TRINITY ROCK ISLAND	IL	$386	$309	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$386	$309	—	—	5 insurers
TRINITY MUSCATINE	IA	$386	$309	—	—	3 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$386	$309	—	—	3 insurers
ST LUKES HOSPITAL	IA	$386	$309	—	—	3 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$386	$309	—	—	3 insurers
TRINITY - BETTENDORF	IA	$386	$309	—	—	4 insurers
ALLEN HOSPITAL	IA	$386	$309	—	—	4 insurers
FINLEY HOSPITAL	IA	$386	$309	—	—	5 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$386	$309	—	—	3 insurers
GRINNELL REGIONAL MEDICAL CENTER	IA	$386	$309	—	—	5 insurers
GRUNDY COUNTY MEMORIAL HOSPITAL	IA	$386	$309	—	—	4 insurers
JONES REGIONAL MEDICAL CENTER	IA	$386	$309	—	—	5 insurers
GLENCOE REGIONAL HEALTH	MN	$377	$377	—	—	1 insurers
USA HEALTH UNIVERSITY HOSPITAL	AL	$773	$305	—	—	5 insurers
THE UNIVERSITY HOSPITAL	NJ	$773	$305	—	—	5 insurers
UNIVERSITY HEALTH SYSTEM, INC	TN	$773	$305	—	—	5 insurers
CAMPBELL COUNTY HEALTH	WY	$303	$303	—	—	0 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$747	$381	—	—	4 insurers