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 |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $1,339.65 | not published |
| Texas Health Hospital Frisco | Frisco, TX | $1,339.65 | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $1,339.65 | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $1,339.65 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $1,339.65 | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $1,339.65 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $1,339.65 | not published |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $1,339.65 | not published |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $1,339.65 | not published |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $1,339.65 | not published |
| Providence Saint John's Health Center | Santa Monica, CA | $1,348.90 | $112.54 – $4,099.00 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $1,374.12 | $173.00 – $4,989.00 |
| St Elias Specialty Hospital | Anchorage, AK | $1,403.64 | $158.10 – $961.23 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $1,440.78 | $528.96 – $1,992.72 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $1,440.78 | $528.96 – $1,995.72 |
| HSHS St. Vincent Hospital | Green Bay, WI | $1,440.78 | $548.43 – $1,982.21 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $1,440.78 | $926.63 – $2,059.07 |
| Princeton Community Hospital | Princeton, WV | $1,455.00 | $30.50 – $5,400.74 |
| Inova Alexandria Hospital | Alexandria, VA | $1,514.00 | $937.56 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church, VA | $1,514.00 | $937.56 – $4,413.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $1,514.00 | $937.56 – $4,413.00 |
| Inova Loudoun Hospital | Leesburg, VA | $1,514.00 | $937.56 – $4,413.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $1,514.00 | $937.56 – $4,413.00 |
| Sentara Leigh Hospital | Norfolk, VA | $1,537.00 | $902.63 – $5,220.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $1,537.00 | $902.63 – $5,220.00 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $1,537.00 | $902.63 – $5,220.00 |
| Sentara Obici Hospital | Suffolk, VA | $1,537.00 | $902.63 – $5,220.00 |
| Sentara CarePlex Hospital | Hampton, VA | $1,537.00 | $902.63 – $929.18 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $1,537.00 | $902.63 – $3,988.00 |
| Sentara Norfolk General Hospital | Norfolk, VA | $1,537.00 | $902.63 – $5,220.00 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $1,555.40 | $161.11 – $3,085.00 |
| Willard Hospital | Willard, OH | $1,571.40 | not published |
| Defiance Hospital | Defiance, OH | $1,604.40 | not published |
| Providence Valdez Medical Center | Valdez, AK | $1,609.92 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $1,609.92 | not published |
| Providence Seward Hospital | Seward, AK | $1,609.92 | not published |
| Petaluma Valley Hospital | Petaluma, CA | $1,671.27 | $593.00 – $4,657.00 |
| Tiffin Hospital | Tiffin, OH | $1,695.00 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $1,711.15 | $94.89 – $131.20 |
| Lourdes Hospital | Paducah, KY | $1,725.00 | not published |
| UPMC Muncy | Muncy, PA | $1,767.60 | $33.55 – $994.56 |
| UPMC Williamsport | Williamsport, PA | $1,767.60 | $33.55 – $994.56 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $1,793.55 | $672.83 – $4,761.00 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $1,793.55 | $2,654.00 – $4,761.00 |
| SSM Health Ripon Community Hospital | Ripon, WI | $1,793.55 | $2,654.00 – $4,761.00 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $1,811.55 | $107.17 – $1,193.35 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $1,811.55 | $107.17 – $1,086.93 |
| Queen of The Valley Medical Center | Napa, CA | $1,858.44 | $1,287.79 – $7,455.00 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $1,869.66 | $1,166.53 – $8,018.00 |
| St Anne Hospital | Toledo, OH | $1,891.80 | not published |