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 |
|---|---|---|---|
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $650.65 | $148.72 – $1,859.00 |
| Providence St Joseph Hospital Orange | Orange, CA | $655.20 | $991.55 – $3,845.00 |
| Pen Bay Medical Center | Rockport, ME | $657.30 | $108.51 – $135.74 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $662.49 | $107.17 – $903.29 |
| St Mary's Hospital | Richmond, VA | $688.80 | not published |
| St Francis Medical Center | Midlothian, VA | $688.80 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $688.80 | not published |
| Richmond Community Hospital | Richmond, VA | $688.80 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $692.00 | $196.07 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $692.00 | $184.53 – $2,245.59 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $692.00 | $184.53 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $692.00 | $173.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $692.00 | $126.87 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $692.00 | $126.87 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $692.00 | $196.07 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $692.00 | $322.93 – $1,958.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $692.00 | $138.40 – $2,245.59 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $692.00 | $126.87 – $2,245.59 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $692.00 | $148.09 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $692.00 | $173.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $692.00 | $92.27 – $2,245.59 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $699.65 | $353.00 – $2,669.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $699.65 | $353.00 – $2,674.00 |
| Allen Hospital | Oberlin, OH | $705.60 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $710.40 | $991.55 – $3,281.00 |
| UPMC St. Margaret | Pittsburgh, PA | $711.60 | $33.55 – $983.24 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $731.44 | $137.06 – $3,868.00 |
| Providence St Mary Medical Center | Walla Walla, WA | $739.90 | $803.23 – $3,568.08 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $751.20 | $227.33 – $845.10 |
| Sanford Medical Center Mayville | Mayville, ND | $751.20 | $227.33 – $845.10 |
| Sanford Fargo Medical Center | Fargo, ND | $760.00 | $114.51 – $965.69 |
| OSF Saint Anthony's Health Center | Alton, IL | $774.00 | $304.48 – $1,716.00 |
| UPMC Northwest | Seneca, PA | $778.20 | $33.55 – $938.54 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $779.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $779.00 | $248.72 – $1,355.59 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $783.75 | $140.31 – $2,302.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $783.75 | $140.31 – $2,302.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $783.75 | $140.31 – $2,444.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $783.75 | $140.31 – $2,302.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $783.75 | $140.31 – $2,302.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $783.75 | $140.31 – $2,302.00 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $787.20 | $971.94 – $5,947.00 |
| OSF Saint Paul Medical Center | Mendota, IL | $787.20 | not published |
| Providence Centralia Hospital | Centralia, WA | $804.96 | $1,050.28 – $4,597.63 |
| Providence St Peter Hospital | Olympia, WA | $804.96 | $886.64 – $3,693.82 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $838.33 | $125.30 – $3,567.32 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $838.33 | $125.30 – $2,006.62 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $838.33 | $125.30 – $2,149.09 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $838.33 | $125.30 – $287.82 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $838.33 | $125.30 – $251.01 |