Removal embedded foreign body vestibule mouth smpl cost at US hospitals
HC REMOVAL EMBEDDED FOREIGN BODY VESTIBULE MOUTH SMPL · CPT 40804
$53.64
lowest cash price
$783.75
national median
$6,839.00
highest cash price
481
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $53.64–$6,839.00 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($657.30) → Sep 1, 2026 ($1,118.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $1,403.64 | $1,609.92 | $1,609.92 |
| Arizona | 7 | not published by hospital | not published by hospital | not published by hospital |
| Arkansas | 5 | $53.64 | $190.35 | $310.05 |
| California | 72 | $387.80 | $649.60 | $1,869.66 |
| Colorado | 13 | $1,224.63 | $1,224.63 | $1,224.63 |
| Florida | 61 | $2,733.29 | $2,869.95 | $5,945.48 |
| Georgia | 24 | $564.72 | $564.72 | $4,692.36 |
| Hawaii | 1 | $2,672.25 | $2,672.25 | $2,672.25 |
| Illinois | 34 | $242.40 | $615.00 | $2,375.20 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 18 | $254.88 | $483.20 | $1,901.75 |
| Kansas | 10 | $5,261.99 | $5,261.99 | $5,261.99 |
| Kentucky | 7 | $85.56 | $103.65 | $1,725.00 |
| Louisiana | 5 | $359.06 | $359.06 | $359.06 |
| Maine | 7 | $313.10 | $320.90 | $657.30 |
| Michigan | 26 | $779.00 | $1,242.00 | $3,575.00 |
| Minnesota | 10 | $451.20 | $451.20 | $451.20 |
| Mississippi | 9 | $62.40 | $253.80 | $1,275.52 |
| Missouri | 17 | $169.62 | $783.75 | $1,555.40 |
| Montana | 2 | $278.40 | $278.40 | $630.40 |
| Nebraska | 12 | $129.00 | $409.08 | $451.35 |
| Nevada | 3 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | $401.35 | $401.35 | $401.35 |
| New Jersey | 21 | $1,024.64 | $3,986.00 | $6,839.00 |
| New Mexico | 2 | $589.68 | $589.68 | $589.68 |
| New York | 21 | $1,109.47 | $1,109.47 | $2,890.00 |
| North Carolina | 14 | $106.80 | $106.80 | $5,481.00 |
| North Dakota | 4 | $751.20 | $751.20 | $1,124.00 |
| Ohio | 52 | $100.18 | $1,571.40 | $2,803.45 |
| Oklahoma | 10 | $379.00 | $838.33 | $1,003.72 |
| Oregon | 11 | $250.56 | $2,222.75 | $3,841.50 |
| Pennsylvania | 17 | $140.40 | $1,191.00 | $2,137.60 |
| South Carolina | 11 | $404.50 | $648.00 | $1,041.60 |
| South Dakota | 2 | $499.20 | $499.20 | $499.20 |
| Tennessee | 30 | $228.80 | $384.30 | $384.30 |
| Texas | 104 | $253.89 | $692.00 | $4,516.96 |
| Virginia | 33 | $344.40 | $688.80 | $2,008.00 |
| Washington | 32 | $238.70 | $411.91 | $1,331.20 |
| West Virginia | 14 | $125.50 | $1,109.50 | $2,764.50 |
| Wisconsin | 21 | $198.75 | $1,440.78 | $1,793.55 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| CHI St. Vincent North | Sherwood, AR | $53.64 | $211.00 – $211.00 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $62.40 | $843.47 – $1,879.02 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $80.77 | $820.44 – $836.85 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $85.56 | $52.06 – $193.83 |
| 45-2896080 MBMC Leake | Carthage, MS | $88.65 | $820.44 – $836.85 |
| Trinity Medical Center East | Steubenville, OH | $100.18 | $121.20 – $192.85 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $100.35 | $50.04 – $193.83 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $103.65 | $59.32 – $195.65 |
| Atrium Health Anson | Wadesboro, NC | $106.80 | $31.95 – $202.92 |
| Atrium Health Mercy | Charlotte, NC | $106.80 | $46.59 – $196.51 |
| Atrium Health Pineville | Charlotte, NC | $106.80 | $21.36 – $196.51 |
| Atrium Health Stanly | Albermarle, NC | $106.80 | $25.63 – $205.06 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $106.80 | $39.94 – $187.97 |
| Atrium Health Cleveland | Shelby, NC | $106.80 | $29.90 – $202.92 |
| Atrium Health Cabarrus | Concord, NC | $106.80 | $26.21 – $202.92 |
| Atrium Health Lincoln | Lincolnton, NC | $106.80 | $24.09 – $202.92 |
| Atrium Health Union | Monroe, NC | $106.80 | $27.77 – $202.92 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $106.80 | $65.34 – $196.51 |
| Atrium Health University City | Charlotte, NC | $106.80 | $21.36 – $196.51 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $106.80 | $46.59 – $192.24 |
| Braxton County Memorial Hospital | Gassaway, WV | $125.50 | not published |
| Jefferson Medical Center | Ranson, WV | $125.50 | not published |
| St. Joseph's Hospital | Buckhannon, WV | $125.50 | not published |
| CHI Health St. Elizabeth | Lincoln, NE | $129.00 | $59.34 – $206.40 |
| Barnesville Hospital | Barnesville, OH | $137.50 | not published |
| UPMC Cole | Coudersport, PA | $140.40 | $32.02 – $2,325.85 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $167.49 | $95.66 – $415.87 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $169.62 | $903.45 – $2,277.00 |
| 64-0881013 MBMC Jackson | Jackson, MS | $188.16 | $851.15 – $2,383.22 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $190.35 | $68.01 – $1,717.04 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $198.75 | $182.50 – $2,007.94 |
| Beckley ARH Hospital | Beckley, WV | $200.40 | $86.47 – $108.15 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $200.40 | $44.16 – $178.45 |
| Grant Memorial Hospital | Petersburg, WV | $200.80 | not published |
| 26-1214372 NEA Baptist | Jonesboro, AR | $226.10 | $51.00 – $1,727.84 |
| 62-1138045 BMH Union City | Union City, TN | $228.80 | $744.81 – $1,712.20 |
| Providence St Joseph Hospital | Chewelah, WA | $238.70 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $238.70 | not published |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $242.40 | $971.94 – $4,342.00 |
| Mercy Primary Care - Bernie | Bernie, MO | $250.50 | $78.43 – $334.00 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $250.56 | $113.42 – $254.25 |
| 64-0682111 BMH DeSoto | Southaven, MS | $253.80 | $815.59 – $2,403.86 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $253.89 | $48.24 – $544.05 |
| CHI Health Mercy Corning | Corning, IA | $254.88 | $132.75 – $338.10 |
| CHI Health Missouri Valley | Missouri Valley, IA | $260.19 | $120.75 – $338.10 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $262.89 | $744.81 – $1,712.20 |
| 62-0123940 BMH Collierville | Collierville, TN | $266.49 | $50.45 – $1,717.04 |
| 64-0663760 BMH Booneville | Booneville, MS | $277.44 | $801.72 – $2,338.34 |
| Providence St Joseph Medical Center | Polson, MT | $278.40 | $2,693.66 – $2,693.66 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $287.04 | $818.83 – $2,388.26 |