Circum 28 days or older cost at US hospitals
Circum 28 days or older · CPT 54161
$205.50
lowest cash price
$4,074.80
national median
$31,044.70
highest cash price
245
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $205.50–$31,044.70 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($2,355.42) → Sep 1, 2026 ($2,424.12)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 20 | $241.62 | $241.62 | $305.71 |
| Arkansas | 3 | $516.10 | $516.10 | $3,817.88 |
| California | 75 | $205.50 | $3,765.84 | $8,377.60 |
| Colorado | 14 | $5,406.23 | $5,406.23 | $5,406.23 |
| Florida | 26 | $4,968.60 | $7,656.35 | $18,806.12 |
| Georgia | 24 | $5,118.75 | $5,118.75 | $5,810.00 |
| Hawaii | 1 | $1,353.00 | $1,353.00 | $1,353.00 |
| Illinois | 36 | $388.80 | $14,156.57 | $20,683.82 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 20 | $370.20 | $496.00 | $31,044.70 |
| Kansas | 9 | $9,518.35 | $9,518.35 | $9,518.35 |
| Kentucky | 4 | $452.40 | $3,939.60 | $13,701.90 |
| Louisiana | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 24 | $2,874.36 | $2,874.36 | $2,874.36 |
| Minnesota | 10 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 6 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 16 | $2,394.70 | $9,479.50 | $15,488.00 |
| Montana | 2 | $287.20 | $287.20 | $287.20 |
| Nebraska | 8 | not published by hospital | not published by hospital | not published by hospital |
| Nevada | 3 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | $2,238.78 | $3,986.00 | $6,839.00 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 19 | $2,424.12 | $2,424.12 | $6,253.08 |
| North Carolina | 14 | $1,210.00 | $1,210.00 | $15,954.00 |
| North Dakota | 2 | $2,846.40 | $2,846.40 | $2,846.40 |
| Ohio | 51 | $220.00 | $6,124.95 | $24,746.16 |
| Oklahoma | 11 | $5,888.19 | $5,888.19 | $6,703.07 |
| Oregon | 10 | $301.44 | $301.44 | $415.80 |
| Pennsylvania | 14 | $383.40 | $383.40 | $2,519.50 |
| South Carolina | 11 | $1,918.50 | $3,066.50 | $12,682.22 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 17 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 101 | $283.50 | $4,074.80 | $13,147.33 |
| Virginia | 27 | $773.10 | $1,600.00 | $17,726.50 |
| Washington | 29 | $1,128.00 | $1,128.00 | $5,869.44 |
| West Virginia | 14 | $205.50 | $2,784.50 | $16,079.50 |
| Wisconsin | 21 | $403.56 | $403.56 | $562.40 |
| Wyoming | 1 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Braxton County Memorial Hospital | Gassaway, WV | $205.50 | not published |
| Potomac Valley Hospital | Keyser, WV | $205.50 | not published |
| WILLITS HOSPITAL INC | Willits, CA | $205.50 | $60.00 – $326.76 |
| Summersville Regional Medical Center | Summersville, WV | $206.00 | not published |
| St. Joseph's Hospital | Buckhannon, WV | $215.50 | not published |
| Barnesville Hospital | Barnesville, OH | $220.00 | not published |
| Banner Page Hospital | Page, AZ | $241.62 | $174.01 – $487.35 |
| Covenant Hospital Plainview | Plainview, TX | $283.50 | $2,036.91 – $4,753.93 |
| Providence St Joseph Medical Center | Polson, MT | $287.20 | $6,052.50 – $6,052.50 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $301.44 | $176.63 – $628.00 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $305.71 | $207.78 – $436.72 |
| Healdsburg Hospital | Healdsburg, CA | $306.00 | $2,816.47 – $5,198.77 |
| Grant Memorial Hospital | Petersburg, WV | $328.80 | not published |
| Mark Twain Medical Center | San Andreas, CA | $358.98 | $139.44 – $528.22 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $370.20 | not published |
| UPMC Cole | Coudersport, PA | $383.40 | $134.40 – $1,041.88 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $388.80 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $388.80 | $596.16 – $1,942.43 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $388.80 | $473.04 – $2,679.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $388.80 | $2,970.16 – $2,970.16 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $403.56 | $207.21 – $422.77 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $415.80 | $176.63 – $426.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $452.10 | $30.00 – $293.90 |
| Hazard ARH Regional Medical Center | Hazard, KY | $452.40 | $158.28 – $287.40 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $496.00 | $179.75 – $1,697.96 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $496.00 | $179.75 – $1,801.11 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $496.00 | $179.75 – $2,038.19 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $496.00 | $179.75 – $1,973.64 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $496.00 | $179.75 – $478.25 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $496.00 | $179.75 – $1,993.39 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $496.00 | $161.20 – $1,814.20 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $496.00 | $179.75 – $1,762.74 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $496.00 | $179.75 – $1,593.66 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $496.00 | $179.75 – $1,769.17 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $496.00 | $179.75 – $1,745.97 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $496.00 | $179.75 – $1,801.80 |
| Mercy Hospital Waldron | Waldron, AR | $516.10 | $188.54 – $1,824.23 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $562.40 | $161.69 – $605.61 |
| Southern Virginia Medical Center | Emporia, VA | $773.10 | not published |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $787.05 | $652.80 – $4,989.00 |
| akron general | Akron, OH | $863.20 | $1.10 – $2,044.20 |
| MultiCare Auburn Medical Center | Auburn, WA | $1,128.00 | $1,362.29 – $10,034.34 |
| MultiCare Capital Medical Center | Olympia, WA | $1,128.00 | $1,466.04 – $10,815.11 |
| MultiCare Covington Medical Center | Covington, WA | $1,128.00 | $1,362.29 – $10,034.34 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $1,128.00 | $1,393.78 – $10,034.34 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $1,128.00 | $1,387.39 – $14,588.63 |
| MultiCare Allenmore Hospital | Tacoma, WA | $1,128.00 | $1,394.33 – $10,034.34 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $1,210.00 | $1,998.04 – $2,038.00 |
| Southampton Medical Center | Franklin, VA | $1,288.80 | not published |
| Rappahannock General Hospital | Kilmarnock, VA | $1,335.60 | not published |