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 |
|---|---|---|---|
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $838.33 | $125.30 – $135.64 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $842.25 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $842.25 | not published |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $843.12 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $843.12 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $843.12 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $843.12 | $71.00 – $2,245.59 |
| St Jude Medical Center | Fullerton, CA | $869.76 | $991.55 – $3,465.00 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $876.00 | $537.28 – $2,173.27 |
| University Hospitals Elyria Medical Center | Elyria, OH | $876.00 | $858.08 – $1,544.54 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $876.00 | $926.63 – $1,667.93 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $876.00 | $858.08 – $1,544.54 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $876.00 | $858.08 – $1,544.54 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $876.00 | $926.63 – $1,667.93 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $876.00 | $858.08 – $1,544.54 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $876.00 | $258.13 – $1,544.54 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $899.85 | $203.00 – $3,094.00 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $949.92 | $1,050.28 – $3,575.94 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $949.92 | $1,050.28 – $3,693.82 |
| Swedish Issaquah | Issaquah, WA | $949.92 | $1,053.23 – $3,693.82 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $1,003.72 | $171.84 – $1,872.00 |
| Healdsburg Hospital | Healdsburg, CA | $1,014.39 | $721.00 – $1,222.02 |
| Ocean University Medical Center | Brick, NJ | $1,024.64 | $239.61 – $1,229.57 |
| Southern Ocean Medical Center | Manahawkin, NJ | $1,024.64 | $239.61 – $1,229.57 |
| MUSC Health Florence Medical Center | Florence, SC | $1,035.00 | $94.86 – $4,128.00 |
| Bayshore Medical Center | Holmdel, NJ | $1,037.75 | $368.00 – $1,245.30 |
| Jersey Shore University Medical Center | Neptune City, NJ | $1,037.75 | $239.61 – $1,245.30 |
| Riverview Medical Center | Red Bank, NJ | $1,037.75 | $239.61 – $1,245.30 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $1,038.65 | $63.00 – $1,246.38 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $1,038.65 | $50.40 – $1,038.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $1,041.25 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $1,041.25 | $85.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $1,041.25 | $537.98 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $1,041.25 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $1,041.25 | $71.00 – $2,245.59 |
| St Francis Downtown | Greenville, SC | $1,041.60 | not published |
| St Francis Eastside | Greenville, SC | $1,041.60 | not published |
| University Hospitals Samaritan Medical Center | Ashland, OH | $1,051.50 | $879.59 – $1,583.27 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,051.50 | $858.08 – $1,544.54 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $1,067.94 | $691.00 – $4,737.00 |
| Hackensack University Medical Center | Hackensack, NJ | $1,104.13 | $249.56 – $1,159.33 |
| Palisades Medical Center | North Bergen, NJ | $1,104.13 | $249.56 – $1,203.50 |
| Redwood Memorial Hospital | Fortuna, CA | $1,104.15 | $1,847.00 – $8,222.00 |
| Wetzel County Hospital | New Martinsville, WV | $1,104.50 | $33.55 – $1,622.65 |
| Bellevue Hospital Center | NY 10016, NY | $1,109.47 | $74.46 – $1,698.26 |
| Kings County Hospital Center | Brooklyn, NY | $1,109.47 | $74.46 – $1,698.26 |
| Lincoln Medical Center | Bronx, NY | $1,109.47 | $137.58 – $1,279.36 |
| Metropolitan Hospital Center | New York, NY | $1,109.47 | $137.58 – $1,279.36 |
| Harlem Hospital Center | New York, NY | $1,109.47 | $133.85 – $1,279.36 |
| Woodhull Medical Center | Brooklyn, NY | $1,109.47 | $74.46 – $1,698.26 |