CPT 40804 Surgery - Digestive
Removal foreign body mouth Cost
Body System: Digestive
Medicare Facility Rate
$116
CMS PFS CY2026
Medicare Non-Facility Rate
$209
Office/clinic setting
Hospital Outpatient
$927
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.27
Work RVU
2.00
Facility PE RVU
0.19
Malpractice RVU
6.26
Total RVU
Frequently Asked Questions
How much does Removal foreign body mouth cost?
The Medicare facility rate is $116. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $927.
How much does Removal foreign body mouth cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $116.