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).

$929 National median

$336 – $1,553 IQR (p25 – p75)

2,502 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
NM	$186	$168	$781
MI	$195	$100	$908
NH	$213	$101	$562
ME	$331	$182	$926
MO	$377	$192	$727
IA	$384	$219	$870
UT	$414	$144	$551
RI	$456	$260	$929
NE	$458	$211	$905
WY	$462	$292	$538
CT	$464	$224	$1,093
AS	$508	$153	$864
VT	$539	$187	$945
WV	$562	$113	$882
AK	$603	$296	$1,063
AZ	$610	$289	$999
KS	$662	$294	$907
PR	$666	$666	$666
NV	$780	$441	$1,192
KY	$794	$194	$923
IN	$808	$154	$1,440
AL	$816	$336	$954
MS	$831	$160	$1,535
NY	$860	$198	$1,537
OK	$869	$214	$981
OH	$880	$731	$1,277
AR	$882	$429	$1,359
TN	$890	$482	$1,408
MT	$891	$241	$1,944
PA	$894	$218	$1,127
SC	$906	$800	$1,529
NC	$924	$184	$1,425
ND	$938	$689	$1,264
MN	$940	$554	$1,383
GA	$951	$355	$2,598
TX	$953	$571	$1,575
CO	$973	$464	$1,629
IL	$977	$408	$1,524
DE	$1,045	$980	$1,530
MA	$1,054	$294	$1,752
MD	$1,085	$296	$1,365
HI	$1,137	$925	$1,389
OR	$1,139	$815	$2,144
CA	$1,167	$377	$1,808
DC	$1,212	$966	$1,587
WA	$1,222	$659	$3,218
WI	$1,353	$904	$2,059
LA	$1,405	$737	$1,798
NJ	$1,501	$1,025	$2,535
FL	$1,506	$941	$2,855
ID	$1,642	$919	$2,168
VA	$1,663	$885	$2,483
SD	$2,945	$926	$11,020

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

NM	$186	$168	$781	$126	$8,048	17	106	488
MI	$195	$100	$908	<$1	$7,723	70	353	3,186
NH	$213	$101	$562	$19	$9,859	13	85	829
ME	$331	$182	$926	$103	$5,078	22	27	421
MO	$377	$192	$727	$22	$19,010	43	252	3,033
IA	$384	$219	$870	$33	$8,734	44	154	1,619
UT	$414	$144	$551	$8	$5,423	34	136	2,556
RI	$456	$260	$929	$45	$5,727	8	34	211
NE	$458	$211	$905	$15	$13,842	38	106	1,439
WY	$462	$292	$538	$8	$1,750	12	69	175
CT	$464	$224	$1,093	$31	$14,003	20	60	523
AS	$508	$153	$864	$153	$864	1 ⚠ thin data	1	6
VT	$539	$187	$945	<$1	$1,453	9	50	439
WV	$562	$113	$882	$25	$6,551	20	74	450
AK	$603	$296	$1,063	$72	$12,002	8	31	124
AZ	$610	$289	$999	$75	$4,839	31	114	866
KS	$662	$294	$907	$50	$14,699	52	292	1,686
PR	$666	$666	$666	$666	$732	1 ⚠ thin data	5	5
NV	$780	$441	$1,192	$24	$7,328	23	248	888
KY	$794	$194	$923	$31	$10,784	46	98	1,255
IN	$808	$154	$1,440	$29	$5,627	50	254	1,908
AL	$816	$336	$954	$1	$9,679	33	132	609
MS	$831	$160	$1,535	$2	$4,123	48	387	2,375
NY	$860	$198	$1,537	$9	$35,000	114	429	8,776
OK	$869	$214	$981	$50	$10,593	50	141	1,140
OH	$880	$731	$1,277	<$1	$12,096	82	183	2,704
AR	$882	$429	$1,359	$12	$19,134	30	242	1,000
TN	$890	$482	$1,408	<$1	$6,165	65	184	3,650
MT	$891	$241	$1,944	$53	$2,694	18	72	377
PA	$894	$218	$1,127	$9	$9,534	80	258	4,341
SC	$906	$800	$1,529	$1	$16,223	47	167	2,040
NC	$924	$184	$1,425	$21	$10,074	72	161	3,371
ND	$938	$689	$1,264	$72	$8,500	17	63	423
MN	$940	$554	$1,383	$30	$50,000	60	101	2,493
GA	$951	$355	$2,598	$38	$37,500	68	134	1,828
TX	$953	$571	$1,575	<$1	$22,109	260	595	10,744
CO	$973	$464	$1,629	$9	$7,617	56	165	2,152
IL	$977	$408	$1,524	$4	$13,346	91	394	3,125
DE	$1,045	$980	$1,530	$182	$4,731	4	8	32
MA	$1,054	$294	$1,752	$1	$13,666	37	349	1,983
MD	$1,085	$296	$1,365	$202	$1,848	1 ⚠ thin data	18	41
HI	$1,137	$925	$1,389	$50	$4,412	15	25	283
OR	$1,139	$815	$2,144	$95	$14,755	32	375	2,065
CA	$1,167	$377	$1,808	<$1	$30,110	217	1,121	10,959
DC	$1,212	$966	$1,587	$171	$8,290	4	18	80
WA	$1,222	$659	$3,218	$52	$33,603	55	119	2,409
WI	$1,353	$904	$2,059	$27	$17,823	77	226	2,354
LA	$1,405	$737	$1,798	$4	$17,881	45	163	2,089
NJ	$1,501	$1,025	$2,535	$20	$10,122	45	142	1,721
FL	$1,506	$941	$2,855	<$1	$168,520	138	260	6,399
ID	$1,642	$919	$2,168	$36	$7,713	20	82	635
VA	$1,663	$885	$2,483	$22	$15,923	43	64	1,328
SD	$2,945	$926	$11,020	$139	$17,159	13	62	393