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 |
|---|---|---|---|
| Queens Hospital Center | Jamaica, NY | $1,109.47 | $74.46 – $1,698.26 |
| Elmhurst Hospital Center | NY 11373, NY | $1,109.47 | $134.77 – $1,279.36 |
| Jacobi Medical Center | Bronx, NY | $1,109.47 | $137.58 – $1,698.26 |
| North Central Bronx | Bronx, NY | $1,109.47 | $137.58 – $1,698.26 |
| South Brooklyn Health | Brooklyn, NY | $1,109.47 | $137.58 – $1,279.36 |
| Summersville Regional Medical Center | Summersville, WV | $1,109.50 | not published |
| Virginia Mason Medical Center | Seattle, WA | $1,117.92 | $5.79 – $530.12 |
| Corewell Health Pennock | Hastings, MI | $1,118.00 | $123.90 – $123.90 |
| Corewell Health Big Rapids | Big Rapids, MI | $1,118.00 | $123.90 – $1,626.70 |
| Corewell Health Gerber | Fremont, MI | $1,118.00 | $123.90 – $123.90 |
| Corewell Health Reed City | Po Box 75, MI | $1,118.00 | not published |
| Corewell Health Greenville | Greenville, MI | $1,118.00 | $123.90 – $1,626.70 |
| Corewell Health Zeeland | Zeeland, MI | $1,118.00 | $123.90 – $1,626.70 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,124.00 | $114.51 – $1,264.50 |
| Potomac Valley Hospital | Keyser, WV | $1,135.50 | not published |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $1,162.00 | $866.92 – $884.26 |
| UPMC Community Osteopathic | Harrisburg, PA | $1,191.00 | $38.73 – $1,687.25 |
| UPMC Hanover | Hanover, PA | $1,191.00 | $38.73 – $1,433.04 |
| UPMC Lititz | Lititz, PA | $1,191.00 | $38.73 – $1,440.78 |
| UPMC Memorial | York, PA | $1,191.00 | $38.73 – $1,438.45 |
| UPMC Somerset | Somerset, PA | $1,191.00 | $33.55 – $893.85 |
| UPMC Carlisle | Carlisle, PA | $1,191.00 | $38.73 – $1,687.25 |
| United Hospital Center | Bridgeport, WV | $1,222.50 | $105.00 – $1,636.25 |
| Camden Clark Medical Center | Parkersburg, WV | $1,222.50 | $105.00 – $1,515.10 |
| AdventHealth Parker | Parker, CO | $1,224.63 | $197.00 – $3,281.00 |
| AdventHealth Littleton | Littleton, CO | $1,224.63 | $197.00 – $3,281.00 |
| AdventHealth Porter | Denver, CO | $1,224.63 | $197.00 – $3,281.00 |
| AdventHealth Avista | Louisville, CO | $1,224.63 | $197.00 – $3,281.00 |
| AdventHealth Castle Rock | Castle Rock, CO | $1,224.63 | $197.00 – $3,281.00 |
| Uniontown Hospital | Uniontown, PA | $1,226.50 | $33.55 – $1,825.89 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $1,242.00 | $258.44 – $1,626.70 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $1,242.00 | $258.44 – $1,626.70 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $1,247.13 | $73.70 – $500.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $1,247.13 | $73.70 – $2,078.56 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $1,247.13 | $73.70 – $414.76 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $1,247.13 | $73.70 – $2,078.56 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $1,260.27 | $163.00 – $1,760.70 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $1,275.52 | $160.00 – $1,866.42 |
| Jackson General Hospital | Ripley, WV | $1,294.50 | not published |
| Mary Immaculate Hospital | Newport News, VA | $1,309.80 | not published |
| Maryview Hospital | Portsmouth, VA | $1,309.80 | not published |
| Harbour View Medical Center | Suffolk, VA | $1,309.80 | not published |
| Reynolds Memorial Hospital | Glen Dale, WV | $1,325.50 | $32.03 – $1,515.10 |
| MultiCare Valley Hospital | Spokane Valley, WA | $1,331.20 | $75.37 – $3,673.52 |
| MultiCare Deaconess Hospital | Spokane, WA | $1,331.20 | $75.91 – $3,681.77 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $1,339.65 | not published |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $1,339.65 | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $1,339.65 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $1,339.65 | not published |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $1,339.65 | not published |