CPT 40830 Surgery - Digestive

Repair mouth laceration Cost

Body System: Digestive

Medicare Facility Rate

$139

CMS PFS CY2026

Medicare Non-Facility Rate

$232

Office/clinic setting

Hospital Outpatient

$242

OPPS rate

Surgery Center (ASC)

$130

ASC rate

Relative Value Units (RVUs)

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

1.77

Work RVU

2.15

Facility PE RVU

0.23

Malpractice RVU

6.94

Total RVU

Frequently Asked Questions

How much does Repair mouth laceration cost?

The Medicare facility rate is $139. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $242. Ambulatory surgery center rate: $130.

How much does Repair mouth laceration 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 $139.