40842 (HCPCS) by state — Price Transparency

HCPCS · across United States

40842 — Reconstruction Of Mouth

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$5,645 National median

$2,023 – $7,686 IQR (p25 – p75)

1,732 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $3,143.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 40842 (HCPCS), with interquartile range
State	Median	p25	p75
ID	$11,726	$8,099	$13,657
OR	$9,488	$7,172	$13,320
NC	$8,612	$5,929	$8,629
WI	$8,130	$5,744	$11,890
WA	$8,090	$6,768	$15,707
MA	$7,047	$2,621	$9,570
NJ	$6,967	$5,845	$8,522
CA	$6,854	$2,735	$8,188
DE	$6,821	$6,397	$9,986
RI	$6,656	$5,394	$11,803
OK	$6,631	$5,458	$11,112
NE	$6,333	$5,709	$8,042
LA	$6,250	$2,984	$13,081
NM	$6,243	$5,580	$7,084
FL	$6,169	$2,236	$9,061
GA	$6,134	$4,589	$7,473
ND	$6,093	$5,916	$10,719
VA	$6,065	$4,844	$8,722
CT	$6,048	$2,630	$7,250
SD	$5,986	$4,856	$6,093
CO	$5,945	$2,815	$7,200
HI	$5,916	$2,837	$6,993
ME	$5,893	$5,738	$22,444
MN	$5,888	$4,586	$6,218
IA	$5,868	$5,563	$8,042
IL	$5,850	$1,183	$6,475
PA	$5,809	$892	$9,111
OH	$5,745	$4,982	$8,890
KY	$5,712	$5,143	$7,141
MD	$5,625	$4,814	$5,734
AK	$5,569	$1,236	$7,458
MS	$5,540	$4,491	$6,477
SC	$5,506	$2,550	$8,149
AL	$5,263	$2,090	$6,101
WY	$5,043	$672	$6,024
KS	$4,860	$649	$7,614
TX	$4,807	$2,097	$6,340
AR	$4,525	$1,672	$5,660
PR	$4,302	$4,302	$4,302
AZ	$4,208	$2,780	$6,317
AS	$4,168	$878	$7,457
DC	$4,044	$3,090	$4,512
MO	$3,532	$1,973	$6,016
NY	$3,288	$606	$7,000
NH	$3,282	$1,739	$6,934
NV	$3,129	$2,216	$6,456
TN	$3,066	$1,403	$5,154
IN	$2,703	$631	$3,507
MT	$2,316	$1,106	$5,976
MI	$1,133	$460	$5,684
WV	$816	$532	$5,415
VT	$777	$657	$1,696
UT	$728	$532	$5,671

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

ID	$11,726	$8,099	$13,657	$320	$23,194	14	54	542
OR	$9,488	$7,172	$13,320	$4,693	$51,070	18	30	365
NC	$8,612	$5,929	$8,629	$489	$16,269	41	59	908
WI	$8,130	$5,744	$11,890	$609	$43,319	64	97	916
WA	$8,090	$6,768	$15,707	$449	$40,469	38	47	1,196
MA	$7,047	$2,621	$9,570	$1	$50,000	21	59	316
NJ	$6,967	$5,845	$8,522	$19	$31,679	36	61	1,345
CA	$6,854	$2,735	$8,188	$1	$59,910	155	421	4,260
DE	$6,821	$6,397	$9,986	$896	$30,880	4	8	32
RI	$6,656	$5,394	$11,803	$912	$37,381	5	7	70
OK	$6,631	$5,458	$11,112	$450	$23,080	38	47	481
NE	$6,333	$5,709	$8,042	$79	$19,277	18	47	742
LA	$6,250	$2,984	$13,081	$112	$30,046	36	116	1,663
NM	$6,243	$5,580	$7,084	$1,683	$26,001	10	32	133
FL	$6,169	$2,236	$9,061	$1	$986,568	117	187	3,992
GA	$6,134	$4,589	$7,473	$396	$50,000	49	81	1,394
ND	$6,093	$5,916	$10,719	$364	$22,677	9	41	157
VA	$6,065	$4,844	$8,722	$12	$23,393	29	54	541
CT	$6,048	$2,630	$7,250	$1,275	$16,816	14	21	208
SD	$5,986	$4,856	$6,093	$427	$6,211	4	12	19
CO	$5,945	$2,815	$7,200	$478	$26,888	49	58	984
HI	$5,916	$2,837	$6,993	$438	$15,437	8	17	93
ME	$5,893	$5,738	$22,444	$881	$35,382	19	9	134
MN	$5,888	$4,586	$6,218	$548	$50,000	50	48	709
IA	$5,868	$5,563	$8,042	$450	$16,121	21	63	410
IL	$5,850	$1,183	$6,475	$261	$22,203	58	115	856
PA	$5,809	$892	$9,111	$40	$33,764	36	136	2,006
OH	$5,745	$4,982	$8,890	$469	$25,989	71	74	1,134
KY	$5,712	$5,143	$7,141	$1,809	$14,497	29	50	740
MD	$5,625	$4,814	$5,734	$3,145	$8,069	1 ⚠ thin data	11	19
AK	$5,569	$1,236	$7,458	$1,233	$22,745	3	14	40
MS	$5,540	$4,491	$6,477	$498	$23,448	16	81	380
SC	$5,506	$2,550	$8,149	$1	$50,000	43	62	1,064
AL	$5,263	$2,090	$6,101	$1	$24,035	23	39	319
WY	$5,043	$672	$6,024	$672	$11,550	6	23	32
KS	$4,860	$649	$7,614	$400	$40,689	21	76	373
TX	$4,807	$2,097	$6,340	<$1	$40,531	198	238	7,999
AR	$4,525	$1,672	$5,660	$82	$13,628	12	30	231
PR	$4,302	$4,302	$4,302	$4,302	$4,732	1 ⚠ thin data	5	5
AZ	$4,208	$2,780	$6,317	$10	$17,455	30	84	878
AS	$4,168	$878	$7,457	$878	$7,457	1 ⚠ thin data	1	6
DC	$4,044	$3,090	$4,512	$2,210	$19,258	2 ⚠ thin data	6	14
MO	$3,532	$1,973	$6,016	$416	$16,402	26	47	517
NY	$3,288	$606	$7,000	$50	$46,702	74	166	4,555
NH	$3,282	$1,739	$6,934	$177	$44,504	13	30	346
NV	$3,129	$2,216	$6,456	$579	$15,206	19	99	442
TN	$3,066	$1,403	$5,154	$167	$14,553	45	74	2,307
IN	$2,703	$631	$3,507	$147	$29,226	37	89	1,328
MT	$2,316	$1,106	$5,976	$503	$17,423	12	45	167
MI	$1,133	$460	$5,684	<$1	$29,444	57	262	1,737
WV	$816	$532	$5,415	$444	$41,334	8	30	115
VT	$777	$657	$1,696	$422	$7,945	2 ⚠ thin data	21	89
UT	$728	$532	$5,671	$532	$15,499	33	42	1,351