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
Wellstar West Georgia Medical Center Lagrange, GA $306.54 $233.07 – $2,665.00
Wellstar Windy Hill Hospital Marietta, GA $306.54 $230.37 – $2,665.00
HSHS St. Joseph's Hospital HIGHLAND, IL $310.32 $341.73 – $431.00
West Virginia University Hospitals Morgantown, WV $313.00 $33.08 – $604.15
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $315.52 $169.55 – $883.56
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $315.52 $169.55 – $497.00
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $315.52 $169.55 – $532.31
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $315.52 $169.55 – $361.92
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $315.52 $169.55 – $315.63
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK $315.52 $169.55 – $183.19
CHI Health Mercy Corning Corning, IA $319.20 $166.25 – $520.38
Thomas Hospitals South Charleston, WV $324.00 $205.80 – $1,144.22
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $325.68 $88.40 – $427.00
Henry Ford West Bloomfield Hospital West Bloomfield, MI $325.68 $88.40 – $542.80
Henry Ford Wyandotte Hospital: Wyandotte, MI $325.68 $88.40 – $427.00
Henry Ford Macomb Hospital Clinton Twp, MI $325.68 $88.40 – $542.80
CHI Health Missouri Valley Missouri Valley, IA $325.85 $166.25 – $520.38
MultiCare Valley Hospital Spokane Valley, WA $326.00 $266.41 – $924.84
MultiCare Deaconess Hospital Spokane, WA $326.00 $258.65 – $926.92
Providence St Joseph Hospital Chewelah, WA $338.80 not published
Providence Mount Carmel Hospital Colville, WA $338.80 not published
St. Michael Medical Center Silverdale, WA $341.95 $488.11 – $979.50
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $342.72 $136.04 – $714.00
Sentara Albemarle Regional Medical Center Elizabeth City, NC $358.00 not published
Lincoln Health Damariscotta, ME $359.00 $136.42 – $325.97
CHI Memorial Hospital Chattanooga Chattanooga, TN $359.55 $178.50 – $595.00
Sentara Martha Jefferson Hospital Charlottesville, VA $360.00 $235.71 – $2,845.00
Sentara RMH Medical Center Harrisonburg, VA $360.00 $235.71 – $242.65
Ascension Providence Waco, TX $361.26 $87.58 – $384.88
MUSC Health Chester Medical Center Chester, SC $372.00 $228.94 – $2,261.00
Inova Alexandria Hospital Alexandria, VA $381.00 $232.22 – $1,043.00
Inova Fairfax Hospital Falls Church, VA $381.00 $232.22 – $1,043.00
Inova Fair Oaks Hospital VA 22033-1709, VA $381.00 $232.22 – $1,043.00
Inova Loudoun Hospital Leesburg, VA $381.00 $232.22 – $1,043.00
Inova Mount Vernon Hospital Alexandria, VA $381.00 $232.22 – $1,043.00
Sanford Medical Center Bismarck Bismarck, ND $381.60 $145.47 – $429.30
UPMC Northwest Seneca, PA $388.80 $34.65 – $232.46
SSM Health St. Anthony Hospital - Midwest Midwest City, OK $391.76 $219.19 – $1,496.00
Covenant Hospital Levelland Levelland, TX $393.96 $230.79 – $1,543.75
NewYork-Presbyterian Queens Flushing, NY $395.00 $184.41 – $288.53
OSF Saint Elizabeth Medical Center Ottawa, IL $397.80 $253.81 – $258.89
Massena Hospital Massena, NY $400.79 not published
AdventHealth Orlando Orlando, FL $404.00 $247.34 – $655.44
SSM Health St. Clare Hospital - Fenton Fenton, MO $410.30 $178.30 – $2,302.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $410.30 $178.30 – $2,302.00
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $410.30 $178.30 – $2,444.00
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $410.30 $178.30 – $2,302.00
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $410.30 $178.30 – $2,302.00
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $410.30 $178.30 – $2,302.00
HSHS St. Anthony's Memorial Hospital Mattoon, IL $423.36 $154.17 – $589.10

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