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.
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 |
|---|---|---|---|
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $890.68 – $984.44 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | not published | $984.44 – $984.44 |
| Sanford Tracy Hospital | Tracy, MN | not published | $984.44 – $984.44 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $668.10 – $966.13 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $653.96 – $966.13 |
| Chandler Regional Medical Center | Chandler, AZ | not published | $120.52 – $187.09 |
| Arizona General Hospital Mesa | Mesa, AZ | not published | $120.52 – $1,029.25 |
| St. Joseph's Medical Center Stockton | Stockton, CA | not published | $70.07 – $1,330.21 |
| Sanford Luverne Medical Center | Luverne, MN | not published | $984.44 – $984.44 |
| St. Joseph's Behavioral Health Center | Stockton, CA | not published | $1,252.13 – $1,252.13 |
| Bakersfield Memorial Hospital | Bakersfield, CA | not published | $70.07 – $1,191.26 |
| Rose de Lima Hospital | Henderson, NV | not published | $129.96 – $1,056.90 |
| Sanford Bagley Medical Center | Bagley, MN | not published | $984.44 – $984.44 |
| Sanford Westbrook Hospital | Westbrook, MN | not published | $984.44 – $984.44 |
| Sanford Canby Medical Center | Canby, MN | not published | $984.44 – $984.44 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $951.53 – $1,574.55 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | not published | $70.07 – $1,191.26 |
| French Hospital | San Luis Obispo, CA | not published | $70.07 – $1,191.26 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | not published | $120.52 – $1,059.23 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | not published | $120.52 – $1,029.25 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $29.77 – $2,225.50 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $743.00 – $16,897.00 |
| Southeastern Medical Center | Cambridge, OH | not published | $858.08 – $892.40 |
| Grant Medical Center | Columbus, OH | not published | $874.53 – $3,714.00 |
| Berger Hospital | Circleville, OH | not published | $289.38 – $3,729.00 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $848.82 – $1,111.76 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $182.50 – $2,007.94 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $660.74 – $4,198.00 |
| Banner Desert Medical Center | Mesa, AZ | not published | $201.90 – $586.96 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $951.53 – $1,574.55 |
| Community Hospital San Bernardino | San Bernardino, CA | not published | $70.07 – $2,322.96 |
| CHI Health St. Francis | Grand Island, NE | not published | $218.00 – $218.00 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $928.46 – $1,583.27 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $912.87 – $1,929.25 |
| CHI Health Nebraska Heart | Lincoln, NE | not published | $218.00 – $218.00 |
| CHI Health Good Samaritan | Kearney, NE | not published | $218.00 – $218.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $977.33 – $1,583.27 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $928.46 – $1,583.27 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $917.18 – $1,878.35 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | not published | $971.94 – $3,533.00 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $902.63 – $929.18 |
| Adventhealth Waterman | Tavares, FL | not published | $947.15 – $1,911.15 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $708.81 – $1,274.55 |
| Ascension Providence | Waco, TX | not published | $628.76 – $1,485.39 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | not published | $903.46 – $1,929.25 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $912.87 – $1,929.25 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $922.28 – $1,929.25 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $29.77 – $2,225.50 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | not published | $941.10 – $1,741.04 |