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

484

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.

Cheapest published cash price

$53.64

CHI St. Vincent North — Sherwood, AR

Most expensive published cash price

$6,839.00

Cooperman Barnabas Medical Center — Livingston, NJ

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 22 $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 19 $76.13 $1,191.00 $2,636.62
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
HCA HOUSTON SOUTHEAST PASADENA, TX not published $915.67 – $1,367.50
HCA HOUSTON TOMBALL HOUSTON, TX not published $915.67 – $1,367.50
HCA HOUSTON NORTHWEST SPRING, TX not published $915.67 – $1,398.94
HCA HOUSTON PEARLAND Pearland, TX not published $915.67 – $1,611.14
HCA HOUSTON KINGWOOD HUMBLE, TX not published $915.67 – $1,398.94
HCA HOUSTON CLEAR LAKE FRIENDSWOOD, TX not published $915.67 – $1,257.47
HCA HOUSTON MEDICAL CENTER Houston, TX not published $915.67 – $1,611.14
HCA HOUSTON CONROE CONROE, TX not published $915.67 – $1,367.50
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER, SC not published $94.83 – $1,019.57
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson, SC not published $99.10 – $1,019.57
MEDICAL CITY ALLIANCE HOSPITAL SAGINAW, TX not published $917.18 – $1,870.49
MEDICAL CITY DALLAS HOSPITAL Dallas, TX not published $915.67 – $1,713.31
MEDICAL CITY NORTH HILLS HOSPITAL North Richland Hills, TX not published $917.18 – $1,619.00
MEDICAL CITY FRISCO HOSPITAL Frisco, TX not published $915.67 – $1,713.31
MEDICAL CITY LEWISVILLE HOSPITAL LEWISVILLE, TX not published $915.67 – $1,799.76
Kettering Health Troy Troy, OH not published $888.88 – $11,143.00
Kettering Health Hamilton (Fort Hamilton) Hamilton, OH not published $899.22 – $11,143.00
Kettering Health Greene Memorial Xenia, OH not published $888.88 – $11,143.00
Soin Medical Center Beaver Creek, OH not published $893.66 – $11,143.00
Kettering Health Dayton (Grandview) Dayton, OH not published $893.66 – $11,143.00
Kettering Health Miamisburg (Sycamore) Miamisburg, OH not published $899.22 – $11,143.00
Kettering Health Main Campus (Kettering) Kettering, OH not published $893.66 – $11,143.00
MUSC Health Lancaster Medical Center Lancaster, SC not published $94.86 – $8,099.00
MUSC Health Chester Medical Center Chester, SC not published $94.12 – $4,392.00
WellSpan Newberry Hospital Etters, PA not published not published
MEDICAL CITY LAS COLINAS HOSPITAL Irving, TX not published $915.67 – $1,697.59
MultiCare Yakima Memorial Hospital Yakima, WA not published $1,082.02 – $2,821.32
MultiCare Allenmore Hospital Tacoma, WA not published $78.90 – $4,353.73
MultiCare Mary Bridge Children's Hospital Tacoma, WA not published $78.51 – $6,492.64
MultiCare Good Samaritan Hospital Puyallup, WA not published $78.87 – $4,353.73
MultiCare Covington Medical Center Covington, WA not published $77.09 – $4,353.73
MultiCare Capital Medical Center Olympia, WA not published $82.96 – $4,692.49
MultiCare Auburn Medical Center Auburn, WA not published $77.09 – $4,353.73
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel, IN not published $28.89 – $153.78
OSF Healthcare Saint Katharine Medical Center Dixon, IL not published $971.94 – $3,952.00
OSF St Mary Medical Center Galesburg, IL not published $971.94 – $5,339.00
OSF Saint Francis Medical Center Peoria, IL not published $199.91 – $4,157.00
OSF Saint Elizabeth Medical Center Ottawa, IL not published $971.94 – $991.38
OSF Saint Anthony Medical Center Rockford, IL not published $199.91 – $4,932.00
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN not published $959.60 – $1,439.40
Parkview Ortho Hospital Fort Wayne, IN not published $959.60 – $1,439.40
Parkview Noble Hospital Kendallville, IN not published $959.60 – $1,439.40
Parkview Wabash Hospital Wabash, IN not published $3,193.00 – $3,193.00
Parkview Logansport Hospital Logansport, IN not published $959.60 – $1,919.20
Parkview LaGrange Hospital Lagrange, IN not published $3,818.00 – $3,818.00
Parkview Huntington Hospital Huntington, IN not published $959.60 – $1,439.40
Parkview DeKalb Hospital Auburn, IN not published $959.60 – $1,439.40
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN not published $959.60 – $1,439.40
Parkview Bryan Hospital Bryan, OH not published $902.33 – $2,707.00
MEDICAL CITY FORT WORTH HOSPITAL FT WORTH, TX not published $917.18 – $2,302.75

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