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
Sanford Hospital Webster Webster, SD $429.60 $168.62 – $483.30
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX $430.32 $71.14 – $436.10
Mercy Hospital Carthage Carthage, MO $441.35 $162.52 – $429.60
Mercy Hospital Logan County Guthrie, OK $441.35 $127.39 – $214.27
Mercy Hospital Kingfisher Kingfisher, OK $441.35 $127.39 – $214.27
Covenant Medical Center Lubbock, TX $443.52 $237.93 – $435.95
Covenant Children's Hospital Lubbock, TX $443.52 $428.71 – $433.75
Covenant Specialty Hospital Lubbock, TX $443.52 not published
Northwestern Medicine Central DuPage Hospital IL 60190, IL $445.20 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $445.20 not published
Northwestern Medicine Delnor Hospital Geneva, IL $445.20 not published
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $445.20 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL $445.20 not published
Northwestern Medicine Palos Hospital Palos Heights, IL $445.20 not published
Northwestern Medicine McHenry Hospital McHenry, IL $445.20 not published
Northwestern Memorial Hospital Chicago, IL $445.20 not published
Sanford Sheldon Medical Center Sheldon, IA $445.60 $158.75 – $501.30
Sanford Aberdeen Medical Center Aberdeen, SD $447.20 $220.61 – $503.10
OSF St Mary Medical Center Galesburg, IL $448.20 $253.81 – $1,586.00
Mercy Hospital Berryville Berryville, AR $448.50 $156.26 – $257.84
Sanford Canton Inwood Medical Center Canton, SD $452.00 $193.23 – $508.50
UPMC St. Margaret Pittsburgh, PA $453.00 $34.65 – $243.53
OSF Little Company of Mary Medical Center Evergreen Park, IL $453.60 $253.81 – $472.09
Petaluma Valley Hospital Petaluma, CA $453.90 $319.18 – $1,687.00
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $456.11 $189.63 – $978.25
Wetzel County Hospital New Martinsville, WV $458.00 $34.65 – $423.74
39-3714515 BMH Oktibbeha County STARKVILLE, MS $460.80 $176.96 – $487.40
CHI Health Mercy Council Bluffs Council Bluffs, IA $464.52 $165.90 – $940.10
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $464.52 $188.02 – $940.10
Lasting Hope Recovery Center Omaha, NE $464.52 $188.02 – $940.10
CHI Health Immanuel Omaha, NE $464.52 $154.84 – $940.10
CHI Health Lakeside Omaha, NE $464.52 $176.96 – $940.10
CHI Health Midlands Papillion, NE $464.52 $199.08 – $940.10
Atrium Health Anson Wadesboro, NC $467.85 $113.99 – $888.92
Atrium Health Mercy Charlotte, NC $467.85 $75.38 – $860.84
Atrium Health Pineville Charlotte, NC $467.85 $93.57 – $860.84
Atrium Health Stanly Albermarle, NC $467.85 $112.28 – $898.27
Atrium Health Behavioral Health Charlotte Charlotte, NC $467.85 $115.13 – $823.42
Atrium Health Cleveland Shelby, NC $467.85 $113.99 – $888.92
Atrium Health Cabarrus Concord, NC $467.85 $113.99 – $888.92
Atrium Health Lincoln Lincolnton, NC $467.85 $105.55 – $888.92
Atrium Health Union Monroe, NC $467.85 $113.99 – $888.92
Carolinas Rehabilitation Charlotte Charlotte, NC $467.85 $115.13 – $860.84
Atrium Health University City Charlotte, NC $467.85 $93.57 – $860.84
Atrium Health Carolinas Medical Center Charlotte, NC $467.85 $75.38 – $842.13
Queen of The Valley Medical Center Napa, CA $468.18 $336.29 – $6,200.00
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $469.70 $219.19 – $487.48
Providence St Joseph Hospital Eureka Eureka, CA $470.73 $304.63 – $8,018.00
Houston Methodist Sugar Land Hospital Sugar Land, TX $472.50 $211.00 – $2,956.00
Houston Methodist West Hospital Houston, TX $472.50 $211.00 – $2,956.00

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