CPT 41800 Surgery - Digestive
Drainage of gum lesion Cost
Body System: Digestive
Medicare Facility Rate
$189
CMS PFS CY2026
Medicare Non-Facility Rate
$383
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.24
Work RVU
4.16
Facility PE RVU
0.26
Malpractice RVU
11.48
Total RVU
Frequently Asked Questions
How much does Drainage of gum lesion cost?
The Medicare facility rate is $189. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Drainage of gum lesion 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 $189.