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 |
|---|---|---|---|
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $418.20 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $418.20 | $641.24 – $1,235.24 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $418.20 | $508.81 – $2,679.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $418.20 | $2,970.16 – $2,970.16 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $426.50 | $902.63 – $3,276.00 |
| Sentara RMH Medical Center | Harrisonburg, VA | $426.50 | $902.63 – $929.18 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $428.45 | $971.94 – $1,020.54 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $428.45 | $971.94 – $1,020.54 |
| CHI Health St. Mary's | Nebraska City, NE | $440.73 | $82.26 – $368.64 |
| CHI Health Plainview | Plainview, NE | $446.04 | $132.75 – $338.10 |
| Sanford Wheaton | Wheaton, MN | $451.20 | $136.54 – $507.60 |
| CHI Health Schuyler | Schuyler, NE | $451.35 | $73.90 – $338.10 |
| Waldo County General Hospital | Belfast, ME | $461.60 | $108.51 – $366.20 |
| MUSC Health Black River Medical Center | Cades, SC | $468.50 | $84.39 – $3,931.00 |
| UPMC Horizon-Greenville | Greenville, PA | $472.20 | $33.55 – $965.36 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $478.92 | $1,032.88 – $3,065.09 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $483.20 | $107.17 – $824.33 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $483.20 | $107.17 – $932.84 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $483.20 | $107.17 – $276.40 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $483.20 | $107.17 – $830.32 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $483.20 | $107.17 – $806.77 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $483.20 | $107.17 – $729.38 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $483.20 | $95.42 – $809.71 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $483.20 | $107.17 – $824.64 |
| Sanford USD Medical Center | Sioux Falls, SD | $499.20 | $114.51 – $965.69 |
| Houston Methodist Hospital | Houston, TX | $503.50 | $211.00 – $3,644.47 |
| UPMC Altoona | Altoona, PA | $505.20 | $30.50 – $673.60 |
| St. Michael Medical Center | Silverdale, WA | $514.47 | $734.37 – $3,890.63 |
| Orange County Anaheim Medical Center | Anaheim, CA | $530.40 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $530.40 | not published |
| Downey Medical Center | Downey, CA | $530.40 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $530.40 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $530.40 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $530.40 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $530.40 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $530.40 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $530.40 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $530.40 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $530.40 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $530.40 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $530.40 | not published |
| Wellstar Cobb Hospital | Austell, GA | $564.72 | $921.24 – $5,272.00 |
| Wellstar Douglas Hospital | Douglasville, GA | $564.72 | $912.95 – $5,272.00 |
| Wellstar Kennestone Hospital | Marietta, GA | $564.72 | $921.24 – $5,272.00 |
| Wellstar MCG Health | Augusta, GA | $564.72 | $794.81 – $1,738.00 |
| Wellstar North Fulton Hospital | Roswell, GA | $564.72 | $921.24 – $5,272.00 |
| Wellstar Paulding Hospital | Hiram, GA | $564.72 | $921.24 – $5,272.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $564.72 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $564.72 | $909.73 – $5,272.00 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $564.72 | $2,558.69 – $5,272.00 |