Removal foreign body mouth (CPT 40804)
40804 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
39 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Rio Grande Hospital | Del Norte, CO | $208.28 | $277.71 | $956.76 | 0.2× |
| South Lincoln Medical Center | Kemmerer, WY | $234.23 | $312.31 | $926.63 | 0.3× |
| Prowers Medical Center | Lamar, CO | $240.60 | $401 | $956.76 | 0.3× |
| Sublette County Health | Pinedale, WY | $258.30 | $287 | $926.63 | 0.3× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $286.20 | $318 | $956.76 | 0.3× |
| Montrose Regional Health | Montrose, CO | $312 | $416 | $956.76 | 0.3× |
| Memorial Hospital of Carbon County | Rawlins, WY | $348 | $464 | $926.63 | 0.4× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $365.50 | $430 | $956.76 | 0.4× |
| Sheridan Memorial Hospital | Sheridan, WY | $494.80 | $618.50 | $926.63 | 0.5× |
| Ivinson Memorial Hospital | Laramie, WY | $496 | $496 | $926.63 | 0.5× |
| St. John's Medical Center | Jackson, WY | $499 | $499 | $926.63 | 0.5× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $640.74 | $1,067.90 | $911.12 | 0.7× |
| Denver Health Medical Center | Denver, CO | $677.07 | $1,934.46 | $956.76 | 0.7× |
| Aspen Valley Hospital | Aspen, CO | $780 | $780 | $956.76 | 0.8× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $808.20 | $2,694 | $956.76 | 0.8× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $824.40 | $1,832 | $956.76 | 0.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $906.50 | $2,590 | $956.76 | 0.9× |
| Longs Peak Hospital | Longmont, CO | $942.90 | $2,694 | $967.38 | 1.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $942.90 | $2,694 | $956.76 | 1.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $942.90 | $2,694 | $956.76 | 1.0× |
| Delta County Memorial Hospital | Delta, CO | $998.16 | $1,663.60 | $956.76 | 1.0× |
| Southwest Memorial Hospital | Cortez, CO | $1,082 | $2,163 | $956.76 | 1.1× |
| Southeast Colorado Hospital | Springfield, CO | $1,100 | $1,375 | $956.76 | 1.1× |
| AdventHealth Porter | Denver, CO | $1,224.63 | $1,224.63 | $956.76 | 1.3× |
| AdventHealth Avista | Louisville, CO | $1,224.63 | $1,224.63 | $967.38 | 1.3× |
| AdventHealth Littleton | Littleton, CO | $1,224.63 | $1,224.63 | $956.76 | 1.3× |
| AdventHealth Parker | Parker, CO | $1,224.63 | $1,224.63 | $956.76 | 1.3× |
| AdventHealth Castle Rock | Castle Rock, CO | $1,224.63 | $1,224.63 | $956.76 | 1.3× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $1,339.65 | $2,232.75 | $911.12 | 1.5× |
| Parkland Memorial Hospital | Dallas, TX | $1,365.60 | $3,414 | $911.12 | 1.5× |
| UCHealth Greeley Hospital | Greeley, CO | $1,380.60 | $2,301 | $956.76 | 1.4× |
| Middle Park Medical Center | Kremmling, CO | $1,452.39 | $1,815.48 | $956.76 | 1.5× |
| Poudre Valley Hospital | Fort Collins, CO | $1,610.70 | $2,301 | $956.76 | 1.7× |
| Medical Center of the Rockies | Loveland, CO | $1,610.70 | $2,301 | $956.76 | 1.7× |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $2,688 | $956.76 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $2,694.70 | $956.76 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $2,720.60 | $956.76 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $2,720.60 | $956.76 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $2,720.60 | $967.38 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.