CPT 40818 Surgery - Digestive

Excise oral mucosa for graft Cost

Body System: Digestive

Medicare Facility Rate

$247

CMS PFS CY2026

Medicare Non-Facility Rate

$364

Office/clinic setting

Hospital Outpatient

$551

OPPS rate

Surgery Center (ASC)

$295

ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

2.76

Work RVU

4.27

Facility PE RVU

0.35

Malpractice RVU

10.91

Total RVU

Frequently Asked Questions

How much does Excise oral mucosa for graft cost?

The Medicare facility rate is $247. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $551. Ambulatory surgery center rate: $295.

How much does Excise oral mucosa for graft cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $247.