Close lac/mouth vest/2.5 cm or < 40830 cost at US hospitals

Close lac/mouth vest/2.5 cm or < 40830 · CPT 40830

$56.56

lowest cash price

$472.50

national median

$4,627.00

highest cash price

512

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $56.56–$4,627.00 — the variation is the story.

Cheapest published cash price

$56.56

LODI MEMORIAL HOSPITAL ASSOCIATION INC — Lodi, CA

Most expensive published cash price

$4,627.00

Robert Wood Johnson University Hospital Rahway — Rahway, NJ

Median cash price over time

Sep 1, 2025 ($305.30) → Sep 1, 2026 ($381.00)

By state

State Hospitals Lowest cash Median Highest
Alaska 5 $862.68 $939.90 $2,237.04
Arizona 7 not published by hospital not published by hospital not published by hospital
Arkansas 5 $80.10 $101.46 $448.50
California 82 $56.56 $728.00 $1,646.40
Colorado 13 $3,422.65 $3,422.65 $3,422.65
Florida 66 $404.00 $876.85 $3,656.59
Georgia 25 $251.60 $306.54 $3,009.65
Hawaii 1 $653.25 $653.25 $653.25
Illinois 47 $130.00 $445.20 $1,216.00
Indiana 25 not published by hospital not published by hospital not published by hospital
Iowa 19 $319.20 $682.40 $769.00
Kansas 10 $1,543.19 $1,543.19 $1,543.19
Kentucky 8 $185.58 $217.65 $1,285.99
Louisiana 2 $878.02 $878.02 $878.02
Maine 7 $305.30 $359.00 $967.75
Michigan 26 $284.00 $325.68 $967.20
Minnesota 10 $480.80 $525.60 $677.60
Mississippi 9 $106.80 $133.50 $460.80
Missouri 17 $410.30 $410.30 $2,228.05
Montana 2 $527.20 $527.20 $527.20
Nebraska 13 $158.20 $464.52 $565.25
Nevada 3 not published by hospital not published by hospital not published by hospital
New Hampshire 1 $552.00 $552.00 $552.00
New Jersey 13 $253.79 $257.26 $4,627.00
New Mexico 2 $268.38 $268.38 $268.38
New York 19 $210.60 $274.80 $806.00
North Carolina 15 $358.00 $467.85 $891.35
North Dakota 4 $381.60 $511.20 $573.60
Ohio 46 $243.00 $486.60 $694.20
Oklahoma 11 $315.52 $315.52 $609.40
Oregon 12 $342.72 $778.50 $1,476.75
Pennsylvania 27 $288.50 $660.00 $2,009.40
South Carolina 11 $372.00 $555.00 $771.00
South Dakota 4 $429.60 $447.20 $680.80
Tennessee 20 $102.60 $122.82 $359.55
Texas 108 $106.92 $443.52 $1,350.29
Virginia 27 $87.00 $360.00 $651.00
Washington 32 $223.33 $341.95 $1,075.20
West Virginia 7 $189.50 $275.50 $458.00
Wisconsin 21 $481.80 $583.44 $788.80

All hospitals

Hospital Location Cash price Negotiated range
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI not published $153.93 – $1,010.33
Ascension Seton Northwest (Ascension Seton) Austin, TX not published $67.58 – $1,000.00
Henry Ford Providence Novi Hospital Novi, MI not published $131.96 – $356.94
Sequoia Hospital Redwood City, CA not published $78.61 – $1,065.92
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport, IN not published $36.08 – $186.80
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN not published $36.08 – $186.80
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel, IN not published $36.08 – $186.80
St. Elizabeth Community Hospital Red Bluff, CA not published $140.51 – $422.50
Riverside Methodist Hospital Columbus, OH not published $228.38 – $3,714.00
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN not published $36.08 – $186.80
Methodist Hospital of Sacramento Sacramento, CA not published $78.61 – $422.50
Wamego Health Center (Wamego Hospital Association) Wamego, KS not published $229.81 – $420.00
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester, IN not published $36.08 – $186.80
St. Luke's Health - Brazosport Hospital Lake Jackson, TX not published $74.70 – $74.70
Woodland Memorial Hospital Woodland, CA not published $78.61 – $422.50
Mercy Hospital of Folsom Folsom, CA not published $78.61 – $422.50
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS not published $214.76 – $601.33
Ascension St. Vincent Naab Surgery Center Indianapolis, IN not published $36.08 – $186.80
Corewell Health Pennock Hastings, MI not published $433.87 – $433.87
Mid Coast Hospital Brunswick, ME not published $140.43 – $432.38
Spring Harbor Hospital Westbrook, ME not published $142.54 – $432.38
Mark Twain Medical Center San Andreas, CA not published $78.61 – $78.61
Arroyo Grande Hospital Santa Maria, CA not published $78.61 – $295.06
San Martin Hospital Las Vegas, NV not published $109.07 – $261.78
Arizona General Hospital Laveen Phoenix, AZ not published $153.06 – $254.93
Siena Hospital Henderson, NV not published $109.07 – $261.78
Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) Salem, IN not published $36.08 – $186.80
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) Indianapolis, IN not published $36.08 – $186.80
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN not published $36.08 – $186.80
Van Wert Hospital Van Wert, OH not published $243.21 – $248.08
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL not published $226.11 – $477.85
Mansfield Hospital Mansfield, OH not published $226.15 – $235.20

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