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 |
|---|---|---|---|
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $29.77 – $2,225.50 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | not published | $941.10 – $1,741.04 |
| Henry Ford Warren Hospital | Warren, MI | not published | $47.96 – $1,745.34 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $29.77 – $2,225.50 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $47.96 – $157.94 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $29.77 – $2,225.50 |
| Henry Ford River District Hospital | China Township, MI | not published | $47.96 – $1,745.34 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $867.07 – $2,427.80 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $28.89 – $153.78 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $28.89 – $153.78 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $281.43 – $1,745.34 |
| Henry Ford St John Hospital | Detroit, MI | not published | $47.96 – $1,745.34 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $867.07 – $2,427.80 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $28.89 – $153.78 |
| Dublin Methodist Hospital | Dublin, OH | not published | $874.53 – $3,714.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $685.17 – $4,074.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $660.74 – $4,401.00 |
| Franklin Memorial Hospital | Farmington, ME | not published | $108.51 – $366.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | not published | $44.31 – $44.31 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $982.40 – $4,826.69 |
| St. John's Camarillo Hospital | Camarillo, CA | not published | $86.19 – $2,072.04 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $151.00 – $1,446.83 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $146.00 – $1,687.20 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $146.00 – $1,661.25 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $360.84 – $2,095.80 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $475.94 – $475.94 |
| Central Medical Center | Seattle, WA | not published | not published |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $971.94 – $1,574.55 |
| Adventhealth Manchester | Manchester, KY | not published | $851.02 – $851.02 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $88.09 – $1,000.00 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $998.09 – $1,019.10 |
| Mercy Gilbert Medical Center | Gilbert, AZ | not published | $120.52 – $999.27 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $88.09 – $1,000.00 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $88.09 – $1,590.03 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $49.64 – $2,427.80 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | not published | $121.32 – $716.78 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $28.89 – $153.78 |
| Adventhealth Murray | Po Box 1406, GA | not published | $844.46 – $1,673.71 |
| St. Mary Medical Center | Long Beach, CA | not published | $70.07 – $1,906.02 |
| California Hospital Medical Center | Los Angeles, CA | not published | $70.07 – $1,327.07 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $121.32 – $1,892.79 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $88.09 – $1,635.46 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $47.96 – $1,267.67 |
| Sequoia Hospital | Redwood City, CA | not published | $70.07 – $4,303.53 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $28.89 – $153.78 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $28.89 – $153.78 |
| Grady Memorial Hospital | Delaware, OH | not published | $874.53 – $909.52 |
| St. Elizabeth Community Hospital | Red Bluff, CA | not published | $125.24 – $1,191.26 |
| Riverside Methodist Hospital | Columbus, OH | not published | $874.53 – $3,714.00 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $28.89 – $153.78 |