{"procedure":{"code_type":"CPT","code":"40804","lay_name":"Simple removal of an object lodged in the mouth lining","blurb":"Removal of a foreign object embedded in the tissue lining the inside of the lips or cheeks, in a straightforward case.","slug":"cpt-40804-simple-removal-of-an-object-lodged-in-the-mouth-lining","description":"Rmvl Embedded FB Vestibule Mouth Smpl","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"229","label":"Nonoperative removal of foreign body","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1608,"n_usable":1505,"n_not_usable":0,"n_labelled":48,"n_no_cash":53,"n_estimated":2,"n_states":49,"cash_p10":140.25,"cash_p20":240.6,"cash_p25":308.7,"cash_p50":649.6,"cash_p75":1211.25,"cash_p80":1403.64,"cash_p90":2265.0,"cash_mean_trimmed":695.63,"gross_p50":1056.0,"cash_to_gross_p50":0.6,"medicare_rate":926.63,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.701,"by_state":[{"state":"AK","n":9,"p20":null,"p50":null,"p80":null},{"state":"AL","n":13,"p20":143.64,"p50":505.8,"p80":1071.25},{"state":"AR","n":12,"p20":226.1,"p50":510.38,"p80":1580.4},{"state":"AZ","n":12,"p20":224.0,"p50":224.0,"p80":734.85},{"state":"CA","n":111,"p20":530.4,"p50":649.6,"p80":1489.07},{"state":"CO","n":26,"p20":780.0,"p50":942.9,"p80":1224.63},{"state":"CT","n":12,"p20":187.0,"p50":574.8,"p80":1528.19},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":66,"p20":520.2,"p50":1233.18,"p80":3143.28},{"state":"GA","n":37,"p20":161.67,"p50":564.72,"p80":1818.38},{"state":"HI","n":11,"p20":1123.5,"p50":2238.6,"p80":2590.9},{"state":"IA","n":37,"p20":204.44,"p50":409.08,"p80":647.32},{"state":"ID","n":10,"p20":441.69,"p50":2526.0,"p80":2526.0},{"state":"IL","n":51,"p20":210.0,"p50":480.0,"p80":920.8},{"state":"IN","n":32,"p20":71.09,"p50":190.05,"p80":756.5},{"state":"KS","n":31,"p20":176.8,"p50":333.7,"p80":854.0},{"state":"KY","n":14,"p20":103.65,"p50":190.05,"p80":454.35},{"state":"LA","n":28,"p20":136.34,"p50":378.88,"p80":744.0},{"state":"MA","n":30,"p20":344.76,"p50":1001.15,"p80":1650.0},{"state":"ME","n":10,"p20":144.6,"p50":320.9,"p80":763.8},{"state":"MI","n":50,"p20":161.5,"p50":920.0,"p80":1955.95},{"state":"MN","n":36,"p20":257.4,"p50":682.44,"p80":1057.51},{"state":"MO","n":32,"p20":180.0,"p50":297.7,"p80":783.75},{"state":"MS","n":31,"p20":88.65,"p50":115.29,"p80":277.44},{"state":"MT","n":10,"p20":203.45,"p50":508.0,"p80":630.4},{"state":"NC","n":50,"p20":106.8,"p50":359.5,"p80":1145.4},{"state":"ND","n":12,"p20":618.0,"p50":760.0,"p80":1380.8},{"state":"NE","n":33,"p20":243.0,"p50":397.0,"p80":540.0},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":35,"p20":1037.75,"p50":1699.5,"p80":4881.0},{"state":"NM","n":16,"p20":136.5,"p50":403.29,"p80":886.2},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":69,"p20":345.0,"p50":1109.47,"p80":2097.0},{"state":"OH","n":48,"p20":431.4,"p50":876.0,"p80":2803.45},{"state":"OK","n":33,"p20":177.14,"p50":189.0,"p80":838.33},{"state":"OR","n":35,"p20":360.1,"p50":530.4,"p80":1750.13},{"state":"PA","n":67,"p20":105.19,"p50":1033.2,"p80":1226.5},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":37,"p20":404.5,"p50":753.31,"p80":4258.8},{"state":"SD","n":9,"p20":null,"p50":null,"p80":null},{"state":"TN","n":24,"p20":228.8,"p50":384.3,"p80":473.88},{"state":"TX","n":105,"p20":634.0,"p50":843.12,"p80":1339.65},{"state":"UT","n":24,"p20":362.75,"p50":437.38,"p80":466.22},{"state":"VA","n":44,"p20":384.3,"p50":825.0,"p80":1537.0},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":45,"p20":250.6,"p50":411.91,"p80":949.92},{"state":"WI","n":45,"p20":431.6,"p50":730.79,"p80":1057.51},{"state":"WV","n":25,"p20":140.6,"p50":506.8,"p80":1294.5},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1128,"p20":295.1,"p50":710.4,"p80":1537.0},{"key":"childrens","n":29,"p20":220.5,"p50":453.0,"p80":1123.8},{"key":"critical_access","n":345,"p20":174.72,"p50":408.6,"p80":934.05}],"ownership":[{"key":"for_profit","n":133,"p20":224.0,"p50":692.0,"p80":1740.12},{"key":"government","n":263,"p20":184.34,"p50":463.2,"p80":1214.4},{"key":"nonprofit","n":1106,"p20":274.95,"p50":655.2,"p80":1418.45}],"affiliation":[{"key":"affiliated","n":1243,"p20":268.8,"p50":655.0,"p80":1462.08},{"key":"independent","n":262,"p20":205.1,"p50":480.0,"p80":1214.4}]},"histogram":[{"lo":94.53,"hi":133.76,"n":63},{"lo":133.76,"hi":189.27,"n":92},{"lo":189.27,"hi":267.82,"n":95},{"lo":267.82,"hi":378.97,"n":145},{"lo":378.97,"hi":536.25,"n":194},{"lo":536.25,"hi":758.79,"n":197},{"lo":758.79,"hi":1073.7,"n":194},{"lo":1073.7,"hi":1519.29,"n":176},{"lo":1519.29,"hi":2149.81,"n":113},{"lo":2149.81,"hi":3042.0,"n":86}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1211,"n_usable":1138,"n_not_usable":0,"n_labelled":28,"n_no_cash":45,"n_estimated":0,"n_states":49,"cash_p10":142.2,"cash_p20":274.95,"cash_p25":344.76,"cash_p50":649.6,"cash_p75":1309.8,"cash_p80":1537.0,"cash_p90":2357.31,"cash_mean_trimmed":721.48,"gross_p50":1152.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":6,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":10,"p20":224.0,"p50":224.0,"p80":224.0},{"state":"CA","n":99,"p20":530.4,"p50":649.6,"p80":1489.07},{"state":"CO","n":21,"p20":824.4,"p50":1044.65,"p80":1224.63},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":51,"p20":520.2,"p50":2779.89,"p80":3143.28},{"state":"GA","n":26,"p20":498.0,"p50":564.72,"p80":1818.38},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":26,"p20":331.89,"p50":443.55,"p80":662.49},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":52,"p20":242.4,"p50":615.0,"p80":950.0},{"state":"IN","n":15,"p20":190.05,"p50":659.4,"p80":1503.25},{"state":"KS","n":23,"p20":205.44,"p50":454.51,"p80":1855.0},{"state":"KY","n":12,"p20":103.65,"p50":190.05,"p80":454.35},{"state":"LA","n":16,"p20":136.34,"p50":339.5,"p80":728.56},{"state":"MA","n":27,"p20":344.76,"p50":1056.98,"p80":1981.0},{"state":"ME","n":10,"p20":144.6,"p50":313.1,"p80":461.6},{"state":"MI","n":34,"p20":431.6,"p50":920.0,"p80":3575.0},{"state":"MN","n":32,"p20":277.2,"p50":787.34,"p80":1057.51},{"state":"MO","n":17,"p20":256.9,"p50":683.5,"p80":783.75},{"state":"MS","n":26,"p20":86.68,"p50":130.41,"p80":277.44},{"state":"MT","n":10,"p20":203.45,"p50":508.0,"p80":867.0},{"state":"NC","n":39,"p20":106.8,"p50":359.5,"p80":925.68},{"state":"ND","n":9,"p20":null,"p50":null,"p80":null},{"state":"NE","n":14,"p20":289.8,"p50":384.0,"p80":577.8},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":8,"p20":null,"p50":null,"p80":null},{"state":"NM","n":14,"p20":136.5,"p50":322.54,"p80":891.0},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":41,"p20":332.14,"p50":1872.0,"p80":2195.76},{"state":"OH","n":44,"p20":431.4,"p50":876.0,"p80":2803.45},{"state":"OK","n":27,"p20":177.14,"p50":189.0,"p80":607.2},{"state":"OR","n":25,"p20":360.1,"p50":1750.13,"p80":3751.39},{"state":"PA","n":59,"p20":140.4,"p50":1033.2,"p80":1308.47},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":30,"p20":655.0,"p50":753.31,"p80":4258.8},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":23,"p20":228.8,"p50":384.3,"p80":384.3},{"state":"TX","n":88,"p20":634.0,"p50":745.5,"p80":1339.65},{"state":"UT","n":23,"p20":362.75,"p50":437.38,"p80":466.22},{"state":"VA","n":43,"p20":426.5,"p50":825.0,"p80":1537.0},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":37,"p20":336.0,"p50":386.07,"p80":949.92},{"state":"WI","n":32,"p20":431.6,"p50":431.6,"p80":1440.78},{"state":"WV","n":9,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":883,"p20":331.89,"p50":692.0,"p80":1671.27},{"key":"childrens","n":23,"p20":220.5,"p50":513.75,"p80":1256.0},{"key":"critical_access","n":229,"p20":190.05,"p50":431.6,"p80":1057.51}],"ownership":[{"key":"for_profit","n":93,"p20":224.0,"p50":561.0,"p80":1604.4},{"key":"government","n":165,"p20":168.05,"p50":562.8,"p80":1503.25},{"key":"nonprofit","n":877,"p20":295.0,"p50":655.2,"p80":1537.0}],"affiliation":[{"key":"affiliated","n":963,"p20":289.8,"p50":655.2,"p80":1609.92},{"key":"independent","n":175,"p20":204.96,"p50":478.1,"p80":1256.0}]},"histogram":[{"lo":106.8,"hi":149.29,"n":68},{"lo":149.29,"hi":208.68,"n":55},{"lo":208.68,"hi":291.71,"n":68},{"lo":291.71,"hi":407.76,"n":110},{"lo":407.76,"hi":569.99,"n":159},{"lo":569.99,"hi":796.75,"n":158},{"lo":796.75,"hi":1113.74,"n":135},{"lo":1113.74,"hi":1556.83,"n":109},{"lo":1556.83,"hi":2176.21,"n":94},{"lo":2176.21,"hi":3042.0,"n":72}],"previous":null}},"related":[{"code_type":"CPT","code":"69200","lay_name":"Removal of an object from the ear canal without anesthesia","slug":"cpt-69200-removal-of-an-object-from-the-ear-canal-without-anesthesia"},{"code_type":"CPT","code":"30300","lay_name":"Removal of an object stuck in the nose","slug":"cpt-30300-removal-of-an-object-stuck-in-the-nose"},{"code_type":"CPT","code":"65205","lay_name":"Removal of a surface foreign body from the eye","slug":"cpt-65205-removal-of-a-surface-foreign-body-from-the-eye"},{"code_type":"CPT","code":"65220","lay_name":"Removal of a foreign body from the cornea","slug":"cpt-65220-removal-of-a-foreign-body-from-the-cornea"},{"code_type":"CPT","code":"65222","lay_name":"Removal of a corneal foreign body using a slit lamp","slug":"cpt-65222-removal-of-a-corneal-foreign-body-using-a-slit-lamp"},{"code_type":"CPT","code":"42809","lay_name":"Removal of a swallowed or stuck object from the throat","slug":"cpt-42809-removal-of-a-swallowed-or-stuck-object-from-the-throat"},{"code_type":"CPT","code":"31635","lay_name":"Bronchoscopy with foreign body removal","slug":"cpt-31635-bronchoscopy-with-foreign-body-removal"},{"code_type":"CPT","code":"43215","lay_name":"Esophagus scope exam with removal of a swallowed object","slug":"cpt-43215-esophagus-scope-exam-with-removal-of-a-swallowed-object"},{"code_type":"CPT","code":"46608","lay_name":"Anoscopy to remove a foreign object","slug":"cpt-46608-anoscopy-to-remove-a-foreign-object"},{"code_type":"CPT","code":"45379","lay_name":"Colonoscopy with removal of a swallowed or lodged object","slug":"cpt-45379-colonoscopy-with-removal-of-a-swallowed-or-lodged-object"},{"code_type":"CPT","code":"45332","lay_name":"Flexible sigmoidoscopy with removal of a swallowed object","slug":"cpt-45332-flexible-sigmoidoscopy-with-removal-of-a-swallowed-object"},{"code_type":"CPT","code":"57415","lay_name":"Removal of a stuck object from the vagina under anesthesia","slug":"cpt-57415-removal-of-a-stuck-object-from-the-vagina-under-anesthesia"}]}