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 |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento, CA | not published | $70.07 – $1,232.05 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $49.64 – $262.50 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $28.89 – $153.78 |
| Woodland Memorial Hospital | Woodland, CA | not published | $70.07 – $1,232.05 |
| Mercy Hospital of Folsom | Folsom, CA | not published | $70.07 – $1,232.05 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $464.69 – $2,427.80 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $28.89 – $153.78 |
| Advocate Trinity Hospital | Chicago, IL | not published | $1,417.13 – $6,181.00 |
| Mid Coast Hospital | Brunswick, ME | not published | $108.51 – $366.20 |
| Spring Harbor Hospital | Westbrook, ME | not published | $115.06 – $366.20 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $1,417.13 – $6,181.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $1,417.13 – $6,181.00 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $1,417.13 – $6,181.00 |
| Mark Twain Medical Center | San Andreas, CA | not published | $70.07 – $70.07 |
| Arroyo Grande Hospital | Santa Maria, CA | not published | $70.07 – $1,191.26 |
| San Martin Hospital | Las Vegas, NV | not published | $129.96 – $1,056.90 |
| Arizona General Hospital Laveen | Phoenix, AZ | not published | $120.52 – $1,029.25 |
| Siena Hospital | Henderson, NV | not published | $129.96 – $1,056.90 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $2,313.12 – $2,313.12 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $42.75 – $1,994.90 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $28.89 – $153.78 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $28.89 – $153.78 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $28.89 – $153.78 |
| Van Wert Hospital | Van Wert, OH | not published | $931.36 – $949.98 |
| O'Bleness Hospital | Athens, OH | not published | $866.03 – $874.69 |
| Mansfield Hospital | Mansfield, OH | not published | $866.03 – $900.67 |