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
481
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 | 21 | $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 | 17 | $140.40 | $1,191.00 | $2,137.60 |
| 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 |
|---|---|---|---|
| 62-1519754 BMH Golden Triangle | Columbus, MS | $292.50 | $823.27 – $2,401.20 |
| Sanford Sheldon Medical Center | Sheldon, IA | $307.20 | $109.44 – $345.60 |
| Mercy Hospital Ozark | River Ozark, AR | $310.05 | $103.58 – $167.66 |
| Lincoln Health | Damariscotta, ME | $313.10 | $108.51 – $284.29 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $317.10 | $95.73 – $887.88 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $317.10 | $58.08 – $507.36 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $317.10 | $33.64 – $434.88 |
| St. Joseph Health College Station Hospital | College Station, TX | $317.10 | $144.96 – $887.88 |
| Stephens Memorial Hospital | Norway, ME | $320.90 | $108.51 – $299.08 |
| St. Clare Hospital | Lakewood, WA | $336.00 | $157.92 – $2,246.13 |
| Southern Virginia Medical Center | Emporia, VA | $344.40 | not published |
| Southside Regional Medical Center | Petersburg, VA | $344.40 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $347.20 | $1,010.69 – $2,572.22 |
| St. Anthony Hospital | Gig Harbor, WA | $354.54 | $157.92 – $2,246.13 |
| St. Anne Hospital | Burien, WA | $355.95 | $269.28 – $1,049.10 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $359.06 | $147.00 – $2,167.65 |
| Mercy Hospital Aurora | Aurora, MO | $360.75 | $35.50 – $1,230.85 |
| St. Francis Hospital | Federal Way, WA | $365.82 | $157.92 – $2,246.13 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $368.80 | $42.55 – $365.73 |
| Kadlec Regional Medical Center | Richland, WA | $373.80 | $219.24 – $2,915.76 |
| Providence Holy Family Hospital | Spokane, WA | $375.90 | $1,010.69 – $11,241.00 |
| Dickenson Community Hospital | CLINTWOOD, VA | $376.97 | $58.03 – $2,373.54 |
| Hancock County Hospital | SNEEDVILLE, TN | $376.97 | $34.53 – $1,814.84 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $376.97 | $58.03 – $2,373.54 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $376.97 | $58.03 – $1,797.56 |
| Love County Health Center | Marietta, OK | $379.00 | $105.50 – $162.34 |
| Bristol Regional Medical Center | BRISTOL, TN | $384.30 | $34.53 – $2,064.99 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $384.30 | $58.03 – $1,795.22 |
| Greeneville Community Hospital | GREENEVILLE, TN | $384.30 | $34.53 – $1,845.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $384.30 | $34.53 – $1,793.89 |
| Holston Valley Medical Center | KINGSPORT, TN | $384.30 | $34.53 – $2,064.99 |
| Indian Path Community Hospital | KINGSPORT, TN | $384.30 | $58.03 – $1,974.92 |
| Johnson City Medical Center | JOHNSON CITY, TN | $384.30 | $58.03 – $1,845.04 |
| Johnston Memorial Hospital | ABINGDON, VA | $384.30 | $34.53 – $1,929.15 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $384.30 | $58.03 – $2,123.84 |
| Russell County Hospital | LEBANON, VA | $384.30 | $58.03 – $1,929.15 |
| Smyth County Community Hospital | MARION, VA | $384.30 | $58.03 – $1,929.15 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $384.30 | $58.03 – $1,793.89 |
| St. Joseph Medical Center | Tacoma, WA | $386.07 | $157.92 – $2,246.13 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $387.80 | $203.00 – $2,606.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $398.40 | not published |
| MaineHealth - Memorial Hospital | North Conway, NH | $401.35 | $106.99 – $136.72 |
| MUSC Health Kershaw Medical Center | Camden, SC | $404.50 | $69.61 – $3,633.00 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $409.08 | $146.10 – $827.90 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $409.08 | $165.58 – $827.90 |
| Lasting Hope Recovery Center | Omaha, NE | $409.08 | $165.58 – $827.90 |
| CHI Health Immanuel | Omaha, NE | $409.08 | $136.36 – $827.90 |
| CHI Health Lakeside | Omaha, NE | $409.08 | $155.84 – $827.90 |
| CHI Health Midlands | Papillion, NE | $409.08 | $175.32 – $827.90 |
| St. Elizabeth Hospital | Enumclaw, WA | $411.91 | $198.17 – $1,049.10 |