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Drainage Of A Complicated Mouth Lining Infection

Hawaii rates for HCPCS 40801

This is a procedure to surgically drain a collection of pus, fluid, or blood that has built up in the tissue lining between the lips or cheeks and the gums, in a case that is more involved than a straightforward drainage. It relieves pressure and helps clear the infection or fluid buildup.

Rates data updated October 2026.

How much does Drainage Of A Complicated Mouth Lining Infection cost?

$339

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $1,122 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$182 to $389
FacilityA hospital or hospital-owned outpatient department$1,122$1,096 to $1,585

How much rates vary

Facilitymedian $1,122 · 10th to 90th $617 to $3,890Professionalmedian $309 · 10th to 90th $30 to $468
$50$100$200$500$1K$2K$5Kfacility $1,122professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$234.42
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$363.08
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$616.60
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$389.05
Typical High
$426.58
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$269.15
Typical High
$4,168.69

Where Hawaii sits

The same service costs 3.7 times more in Wisconsin than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 30th of 51

$339

WI $891UT $240

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.