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

$335 – $1,556 IQR (p25 – p75)

2,528 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
NJ	$1,501	$1,025	$2,535
FL	$1,495	$941	$2,857
LA	$1,367	$672	$1,798
WI	$1,353	$904	$2,071
ID	$1,337	$559	$2,147
WA	$1,222	$659	$3,218
DC	$1,212	$966	$1,587
CA	$1,167	$365	$1,822
OR	$1,139	$806	$2,144
HI	$1,137	$925	$1,389
MD	$1,085	$296	$1,365
MA	$1,055	$287	$1,749
DE	$1,045	$980	$1,530
CO	$993	$465	$1,670
IL	$977	$407	$1,524
TX	$957	$555	$1,575
GA	$951	$378	$2,619
MN	$940	$546	$1,363
ND	$938	$694	$1,284
NC	$920	$185	$1,322
PA	$902	$268	$1,134
SC	$901	$720	$1,521
MT	$891	$241	$1,944
TN	$885	$475	$1,417
OH	$880	$731	$1,278
AR	$873	$405	$1,296
OK	$872	$220	$984
NY	$860	$193	$1,591
MS	$835	$160	$1,535
IN	$821	$154	$1,440
AL	$818	$336	$1,013
KY	$794	$196	$943
AZ	$790	$299	$999
NV	$782	$531	$1,185
PR	$666	$666	$666
KS	$662	$294	$907
AK	$603	$296	$1,063
WV	$562	$136	$909
VT	$539	$187	$945
AS	$508	$153	$864
WY	$464	$292	$538
CT	$464	$224	$1,093
RI	$456	$260	$929
NE	$415	$201	$905
UT	$414	$144	$547
IA	$385	$219	$870
MO	$371	$192	$714
ME	$339	$208	$927
NH	$213	$101	$562
MI	$191	$100	$904
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
NJ	$1,501	$1,025	$2,535	$20	$10,122	45	142	1,721
FL	$1,495	$941	$2,857	<$1	$168,520	138	261	6,415
LA	$1,367	$672	$1,798	$4	$17,881	46	165	2,114
WI	$1,353	$904	$2,071	$27	$17,823	78	227	2,375
ID	$1,337	$559	$2,147	$36	$7,713	21	106	724
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	$365	$1,822	<$1	$30,110	219	1,168	11,203
OR	$1,139	$806	$2,144	$95	$14,755	31	374	2,028
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	$1,055	$287	$1,749	$1	$50,000	38	355	2,112
DE	$1,045	$980	$1,530	$182	$4,731	4	8	32
CO	$993	$465	$1,670	$9	$7,617	55	165	2,123
IL	$977	$407	$1,524	$4	$13,346	91	394	3,140
TX	$957	$555	$1,575	<$1	$22,109	262	622	11,265
GA	$951	$378	$2,619	$38	$37,500	69	134	1,826
MN	$940	$546	$1,363	$30	$50,000	62	101	2,531
ND	$938	$694	$1,284	$72	$8,500	17	66	449
NC	$920	$185	$1,322	$21	$10,074	72	161	3,389
PA	$902	$268	$1,134	$9	$9,915	81	259	4,369
SC	$901	$720	$1,521	$1	$16,223	48	174	2,161
MT	$891	$241	$1,944	$53	$2,694	18	72	377
TN	$885	$475	$1,417	<$1	$6,165	65	184	3,663
OH	$880	$731	$1,278	<$1	$12,096	84	184	2,713
AR	$873	$405	$1,296	$12	$19,134	30	231	959
OK	$872	$220	$984	$50	$10,593	50	141	1,153
NY	$860	$193	$1,591	$9	$35,000	119	445	9,531
MS	$835	$160	$1,535	$2	$4,123	48	386	2,387
IN	$821	$154	$1,440	$29	$14,457	51	258	1,936
AL	$818	$336	$1,013	$1	$9,679	35	142	644
KY	$794	$196	$943	$31	$10,784	47	99	1,227
AZ	$790	$299	$999	$4	$6,564	31	123	930
NV	$782	$531	$1,185	$48	$7,328	22	243	850
PR	$666	$666	$666	$666	$732	1 ⚠ thin data	5	5
KS	$662	$294	$907	$50	$15,046	52	292	1,707
AK	$603	$296	$1,063	$72	$12,002	8	31	124
WV	$562	$136	$909	$25	$10,132	20	74	452
VT	$539	$187	$945	<$1	$1,453	9	50	439
AS	$508	$153	$864	$153	$864	1 ⚠ thin data	1	6
WY	$464	$292	$538	$8	$1,750	12	68	174
CT	$464	$224	$1,093	$31	$14,003	20	60	523
RI	$456	$260	$929	$45	$5,727	8	34	211
NE	$415	$201	$905	$15	$15,167	39	112	1,495
UT	$414	$144	$547	$8	$5,423	34	138	2,777
IA	$385	$219	$870	$33	$8,734	45	155	1,633
MO	$371	$192	$714	$22	$7,365	43	239	3,046
ME	$339	$208	$927	$103	$5,078	22	27	403
NH	$213	$101	$562	$19	$9,859	14	85	830
MI	$191	$100	$904	<$1	$7,723	69	354	3,079
NM	$186	$168	$781	$126	$8,048	17	106	488