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Drainage Of A Complicated Mouth Lining Infection

Oregon 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 July 2026.

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

$513

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $589 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$501$380 to $631
FacilityA hospital or hospital-owned outpatient department$589$457 to $661

How much rates vary

Facilitymedian $589 · 10th to 90th $309 to $6,026Professionalmedian $501 · 10th to 90th $302 to $832
$100$500$2K$10Kfacility $589professional $501

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$707.95
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$501.19
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,344.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$812.83

Where Oregon sits

The same service costs 9.5 times more in California than in West Virginia. 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.

Oregon· 9th of 51

$513

CA $2,630WV $275

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.