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.

Cheapest published cash price

$53.64

CHI St. Vincent North — Sherwood, AR

Most expensive published cash price

$6,839.00

Cooperman Barnabas Medical Center — Livingston, NJ

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
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $1,901.75 $107.17 – $2,020.60
Providence Hood River Memorial Hospital Hood River, OR $1,941.75 not published
Covenant Medical Center Lubbock, TX $1,957.62 $158.10 – $1,202.46
Covenant Children's Hospital Lubbock, TX $1,957.62 $155.48 – $1,674.01
Covenant Specialty Hospital Lubbock, TX $1,957.62 not published
Kings Mills Hospital Mason, OH $1,993.20 not published
Sentara Halifax Regional Hospital South Boston, VA $2,008.00 $909.78 – $936.53
HSHS St. Mary's Hospital DECATUR, IL $2,025.36 $971.94 – $2,813.00
HSHS St. John's Hospital IL 62769|301 N. 8th St., IL $2,025.36 $971.94 – $2,813.00
Massena Hospital Massena, NY $2,039.82 not published
Gouverneur Hospital Gouverneur, NY $2,039.82 not published
Providence Seaside Hospital Seaside, OR $2,047.50 not published
UPMC Wellsboro Wellsboro, PA $2,137.60 $33.55 – $994.56
Providence Medford Medical Center Medford, OR $2,193.75 $919.17 – $2,297.93
Rochester General Hospital Rochester, NY $2,195.76 not published
Newark Wayne Community Hospital Newark, NY $2,195.76 $110.34 – $229.92
Sunnyside Medical Center CLACKAMAS, OR $2,222.75 not published
Westside Medical Center HILLSBORO, OR $2,222.75 not published
The Unity Hospital of Rochester Rochester, NY $2,357.31 not published
OSF Holy Family Medical Center Monmouth, IL $2,375.20 not published
Canton-Potsdam Hospital Potsdam, NY $2,405.94 $99.31 – $115.86
Moanalua Medical Center HONOLULU, HI $2,672.25 not published
AdventHealth Deland Deland, FL $2,733.29 $899.79 – $1,888.89
West Virginia University Hospitals Morgantown, WV $2,764.50 $30.50 – $3,698.51
AdventHealth Orlando Orlando, FL $2,782.00 $947.15 – $2,509.94
cleveland clinic main campus Cleveland, OH $2,803.45 $0.01 – $3,881.70
akron general Akron, OH $2,803.45 $1.10 – $3,881.70
avon hospital Avon, OH $2,803.45 $234.18 – $3,881.70
euclid hospital Euclid, OH $2,803.45 $234.18 – $3,881.70
fairview hospital Cleveland, OH $2,803.45 $200.03 – $3,881.70
lutheran hospital Cleveland, OH $2,803.45 $234.18 – $3,881.70
hillcrest hospital Mayfield Heights, OH $2,803.45 $200.03 – $3,881.70
marymount hospital Garfield Heights, OH $2,803.45 $234.18 – $3,881.70
medina hospital Medina, OH $2,803.45 $158.91 – $3,881.70
mercy hospital Canton, OH $2,803.45 $1.10 – $3,881.70
south pointe hospital Warrensville Heights, OH $2,803.45 $234.18 – $3,881.70
Adventhealth Fish Memorial Orange City, FL $2,869.95 $899.79 – $1,802.61
Adventhealth Daytona Beach Daytona Beach, FL $2,869.95 $899.79 – $1,580.79
Adventhealth Palm Coast Palm Coast, FL $2,869.95 $899.79 – $2,023.01
Adventhealth Lake Wales Lake Wales, FL $2,869.95 $947.15 – $2,102.66
Adventhealth Palm Coast Parkway Palm Coast, FL $2,869.95 $899.79 – $2,023.01
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor, NY $2,890.00 $289.07 – $1,386.77
NewYork-Presbyterian Queens Flushing, NY $2,890.00 $100.00 – $1,164.88
NewYork-Presbyterian Columbia University Irving Medical Center New York, NY $2,890.00 $289.07 – $1,386.76
AdventHealth New Smyrna Beach New Smyrna Beach, FL $3,143.28 $899.79 – $2,069.04
Emory Hospital Perry Perry, GA $3,331.00 $800.59 – $4,840.09
Emory Hospital Warner Robins Warner Robins, GA $3,331.00 $812.49 – $4,840.09
cleveland clinic florida weston hospital Weston, FL $3,504.15 $91.52 – $4,582.35
martin north hospital Stuart, FL $3,504.15 $154.15 – $4,043.25
indian river hospital Vero Beach, FL $3,504.15 $158.55 – $4,312.80

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