Removal embedded foreign body vestibule mouth smpl cost in Texas
HC REMOVAL EMBEDDED FOREIGN BODY VESTIBULE MOUTH SMPL · CPT 40804
$253.89
lowest in Texas
$692.00
state median
$4,516.96
highest in Texas
$899.85
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $253.89 | $48.24 – $544.05 | 12 |
| St. Joseph Health Madison Hospital | Madisonville | $317.10 | $33.64 – $434.88 | 21 |
| St. Joseph Health Grimes Hospital | Navasota | $317.10 | $95.73 – $887.88 | 18 |
| St. Joseph Health College Station Hospital | College Station | $317.10 | $144.96 – $887.88 | 10 |
| St. Joseph Health Burleson Hospital | Caldwell | $317.10 | $58.08 – $507.36 | 20 |
| Covenant Hospital Levelland | Levelland | $607.74 | $559.85 – $961.23 | 5 |
| Covenant Hospital Plainview | Plainview | $609.42 | $345.63 – $961.23 | 5 |
| Baylor St Luke's Medical Center | Houston | $650.65 | $204.49 – $1,859.00 | 26 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $650.65 | $148.72 – $1,859.00 | 24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $650.65 | $185.90 – $1,859.00 | 25 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $650.65 | $148.72 – $1,859.00 | 24 |
| St. Luke's Health - The Vintage Hospital | Houston | $650.65 | $148.72 – $1,859.00 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $692.00 | $184.53 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $692.00 | $184.53 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $692.00 | $173.00 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $692.00 | $126.87 – $2,245.59 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $692.00 | $126.87 – $2,245.59 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $692.00 | $196.07 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $692.00 | $322.93 – $1,958.91 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $692.00 | $138.40 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $692.00 | $126.87 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $692.00 | $148.09 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $692.00 | $173.00 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $692.00 | $92.27 – $2,245.59 | 24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $692.00 | $196.07 – $2,245.59 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $843.12 | $71.00 – $2,245.59 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $843.12 | $71.00 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $843.12 | $71.00 – $2,245.59 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $843.12 | $71.00 – $2,245.59 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,041.25 | $85.00 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,041.25 | $537.98 – $2,245.59 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,041.25 | $71.00 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,041.25 | $71.00 – $2,245.59 | 29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,041.25 | $71.00 – $2,245.59 | 27 |
| Covenant Specialty Hospital | Lubbock | $1,957.62 | not published | 0 |
| Covenant Children's Hospital | Lubbock | $1,957.62 | $155.48 – $1,674.01 | 2 |
| Covenant Medical Center | Lubbock | $1,957.62 | $158.10 – $1,202.46 | 5 |
| Texas Health Hospital Mansfield | Mansfield | $4,516.96 | $829.93 – $2,761.00 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $4,516.96 | $829.93 – $2,761.00 | 3 |
| Adventhealth Rollins Brook | Lampasas | not published | $982.40 – $4,826.69 | 2 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $88.09 – $1,000.00 | 8 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $88.09 – $1,000.00 | 8 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $88.09 – $1,590.03 | 9 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $88.09 – $1,635.46 | 31 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,367.50 – $1,367.50 | 1 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $88.09 – $1,635.46 | 32 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $88.09 – $1,000.00 | 8 |
| HCA HOUSTON WEST | HOUSTON | not published | $915.67 – $1,367.50 | 2 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $1,398.94 – $1,398.94 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $915.67 – $1,398.94 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $915.67 – $1,367.50 | 2 |
| Adventhealth Central Texas | Killeen | not published | $911.12 – $4,826.69 | 5 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $88.09 – $1,000.00 | 8 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $88.09 – $1,000.00 | 8 |
| Ascension Providence | Waco | not published | $628.76 – $1,485.39 | 15 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,611.14 – $1,611.14 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,257.47 – $1,257.47 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,367.50 – $1,367.50 | 1 |
| HCA HOUSTON PEARLAND | Pearland | not published | $1,611.14 – $1,611.14 | 1 |