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 |
|---|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | $564.72 | $892.49 – $5,272.00 |
| Wellstar Windy Hill Hospital | Marietta, GA | $564.72 | $854.93 – $5,272.00 |
| Southampton Medical Center | Franklin, VA | $573.90 | not published |
| Mercy Hospital Lincoln | Troy, MO | $579.80 | $1,118.95 – $1,230.85 |
| UPMC McKeesport | Mckeesport, PA | $583.80 | $33.55 – $983.24 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $589.68 | $899.67 – $1,259.53 |
| OSF St Joseph Medical Center | Bloomington, IL | $590.40 | $971.94 – $4,652.00 |
| Rappahannock General Hospital | Kilmarnock, VA | $594.60 | not published |
| Providence Saint Joseph Medical Center | Burbank, CA | $602.00 | $202.00 – $2,654.00 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $602.80 | $171.84 – $1,866.75 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $607.20 | $171.84 – $1,781.36 |
| Covenant Hospital Levelland | Levelland, TX | $607.74 | $559.85 – $961.23 |
| Covenant Hospital Plainview | Plainview, TX | $609.42 | $345.63 – $961.23 |
| Advocate Sherman Hospital | Elgin, IL | $615.00 | $376.38 – $1,876.48 |
| Advocate Christ Medical Center | Oak Lawn, IL | $615.00 | $484.62 – $6,181.00 |
| Advocate Condell Medical Center | Libertyville, IL | $615.00 | $484.62 – $1,876.48 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $615.00 | $484.62 – $1,876.48 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $630.40 | $935.90 – $2,693.66 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $634.00 | $211.00 – $2,956.00 |
| Houston Methodist West Hospital | Houston, TX | $634.00 | $211.00 – $3,644.47 |
| Houston Methodist Baytown Hospital | Baytown, TX | $634.00 | $211.00 – $2,956.00 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $634.00 | $211.00 – $2,956.00 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $634.00 | $211.00 – $2,956.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $634.00 | $211.00 – $2,956.00 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $634.00 | $3,894.00 – $7,542.00 |
| Houston Methodist Cypress Hospital | Cypress, TX | $634.00 | $211.00 – $2,956.00 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $648.00 | $69.16 – $927.92 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $648.00 | $843.57 – $927.92 |
| Redwood City Medical Center | Redwood City, CA | $649.60 | not published |
| Oakland Medical Center | Oakland, CA | $649.60 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $649.60 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $649.60 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $649.60 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $649.60 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $649.60 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $649.60 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $649.60 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $649.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $649.60 | not published |
| Vallejo Medical Center | VALLEJO, CA | $649.60 | not published |
| Antioch Medical Center | ANTIOCH, CA | $649.60 | not published |
| Fremont Medical Center | FREMONT, CA | $649.60 | not published |
| Fresno Medical Center | FRESNO, CA | $649.60 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $649.60 | not published |
| San Jose Medical Center | SAN JOSE, CA | $649.60 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $649.60 | not published |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $650.65 | $148.72 – $1,859.00 |
| Baylor St Luke's Medical Center | Houston, TX | $650.65 | $204.49 – $1,859.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $650.65 | $148.72 – $1,859.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $650.65 | $185.90 – $1,859.00 |