40804 (HCPCS) by state — Price Transparency

HCPCS · across United States

40804 — Removal Foreign Body Mouth

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$927 National median

$336 – $1,550 IQR (p25 – p75)

2,499 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 40804 (HCPCS), with interquartile range
State	Median	p25	p75
SD	$2,945	$926	$11,020
VA	$1,663	$885	$2,483
ID	$1,642	$919	$2,168
NJ	$1,501	$1,025	$2,535
FL	$1,495	$941	$2,830
LA	$1,380	$705	$1,727
WI	$1,364	$901	$2,074
WA	$1,222	$659	$3,218
DC	$1,212	$966	$1,587
CA	$1,167	$377	$1,808
OR	$1,139	$815	$2,144
HI	$1,137	$925	$1,389
MD	$1,085	$296	$1,365
MA	$1,054	$294	$1,752
DE	$1,045	$980	$1,530
IL	$976	$405	$1,524
CO	$973	$464	$1,629
TX	$953	$570	$1,575
GA	$951	$355	$2,598
MN	$940	$554	$1,383
ND	$938	$689	$1,264
NC	$924	$184	$1,425
SC	$906	$800	$1,529
PA	$894	$218	$1,127
MT	$891	$241	$1,944
TN	$890	$482	$1,408
AR	$882	$429	$1,359
OH	$880	$731	$1,277
OK	$869	$214	$981
NY	$860	$198	$1,537
MS	$835	$160	$1,535
AL	$816	$336	$954
IN	$808	$154	$1,440
KY	$794	$194	$923
NV	$780	$441	$1,192
PR	$666	$666	$666
KS	$662	$294	$907
AZ	$610	$289	$999
AK	$603	$296	$1,063
WV	$562	$113	$882
VT	$539	$187	$945
AS	$508	$153	$864
CT	$464	$224	$1,093
WY	$462	$292	$538
NE	$458	$211	$905
RI	$456	$260	$929
UT	$414	$144	$551
IA	$384	$219	$870
MO	$377	$192	$727
ME	$331	$182	$926
NH	$213	$101	$562
MI	$195	$100	$908
NM	$186	$168	$781

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

SD	$2,945	$926	$11,020	$139	$17,159	13	62	393
VA	$1,663	$885	$2,483	$22	$15,923	43	64	1,328
ID	$1,642	$919	$2,168	$36	$7,713	20	82	635
NJ	$1,501	$1,025	$2,535	$20	$10,122	45	142	1,721
FL	$1,495	$941	$2,830	<$1	$168,520	136	254	6,249
LA	$1,380	$705	$1,727	$4	$17,881	45	156	2,054
WI	$1,364	$901	$2,074	$27	$17,823	77	224	2,190
WA	$1,222	$659	$3,218	$52	$33,603	55	119	2,409
DC	$1,212	$966	$1,587	$171	$8,290	4	18	80
CA	$1,167	$377	$1,808	<$1	$30,110	217	1,121	10,959
OR	$1,139	$815	$2,144	$95	$14,755	32	375	2,065
HI	$1,137	$925	$1,389	$50	$4,412	15	25	283
MD	$1,085	$296	$1,365	$202	$1,848	1 ⚠ thin data	18	41
MA	$1,054	$294	$1,752	$1	$13,666	37	349	1,983
DE	$1,045	$980	$1,530	$182	$4,731	4	8	32
IL	$976	$405	$1,524	$4	$13,346	90	392	3,092
CO	$973	$464	$1,629	$9	$7,617	56	165	2,152
TX	$953	$570	$1,575	<$1	$22,109	260	595	10,738
GA	$951	$355	$2,598	$38	$37,500	68	134	1,828
MN	$940	$554	$1,383	$30	$50,000	60	101	2,493
ND	$938	$689	$1,264	$72	$8,500	17	63	423
NC	$924	$184	$1,425	$21	$10,074	72	161	3,371
SC	$906	$800	$1,529	$1	$16,223	47	167	2,040
PA	$894	$218	$1,127	$9	$9,534	80	258	4,341
MT	$891	$241	$1,944	$53	$2,694	18	72	377
TN	$890	$482	$1,408	<$1	$6,165	65	184	3,650
AR	$882	$429	$1,359	$12	$19,134	30	242	1,000
OH	$880	$731	$1,277	<$1	$12,096	82	183	2,704
OK	$869	$214	$981	$50	$10,593	50	141	1,140
NY	$860	$198	$1,537	$9	$35,000	114	429	8,776
MS	$835	$160	$1,535	$2	$4,123	47	387	2,314
AL	$816	$336	$954	$1	$9,679	33	132	609
IN	$808	$154	$1,440	$29	$5,627	50	254	1,908
KY	$794	$194	$923	$31	$10,784	46	98	1,255
NV	$780	$441	$1,192	$24	$7,328	23	248	888
PR	$666	$666	$666	$666	$732	1 ⚠ thin data	5	5
KS	$662	$294	$907	$50	$14,699	52	292	1,686
AZ	$610	$289	$999	$75	$4,839	31	114	866
AK	$603	$296	$1,063	$72	$12,002	8	31	124
WV	$562	$113	$882	$25	$6,551	20	74	450
VT	$539	$187	$945	<$1	$1,453	9	50	439
AS	$508	$153	$864	$153	$864	1 ⚠ thin data	1	6
CT	$464	$224	$1,093	$31	$14,003	20	60	523
WY	$462	$292	$538	$8	$1,750	12	69	175
NE	$458	$211	$905	$15	$13,842	38	106	1,439
RI	$456	$260	$929	$45	$5,727	8	34	211
UT	$414	$144	$551	$8	$5,423	34	136	2,556
IA	$384	$219	$870	$33	$8,734	44	154	1,619
MO	$377	$192	$727	$22	$19,010	43	252	3,033
ME	$331	$182	$926	$103	$5,078	22	27	421
NH	$213	$101	$562	$19	$9,859	13	85	829
MI	$195	$100	$908	<$1	$7,723	70	353	3,186
NM	$186	$168	$781	$126	$8,048	17	106	488