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 |
|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael, CA | not published | $181.57 – $3,364.94 |
| Glendale Memorial Hospital Health Center | Glendale, CA | not published | $181.57 – $2,602.84 |
| St Jude Medical Center | Fullerton, CA | not published | $2,285.30 – $5,605.00 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $1,528.00 – $5,175.00 |
| lodi hospital | Lodi, OH | not published | $1,588.63 – $1,839.46 |
| Atrium Health Stanly | Albermarle, NC | not published | $183.39 – $548.31 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $1,657.91 – $1,919.69 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | not published | $2,073.80 – $4,768.64 |
| Atrium Health Pineville | Charlotte, NC | not published | $183.39 – $548.31 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | not published | $2,150.94 – $2,150.94 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $1,946.08 – $2,150.94 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $197.06 – $2,134.73 |
| Atrium Health Mercy | Charlotte, NC | not published | $183.39 – $548.31 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | not published | $2,150.94 – $2,150.94 |
| Sanford Tracy Hospital | Tracy, MN | not published | $2,150.94 – $2,150.94 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1,501.18 – $2,110.93 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1,469.43 – $2,110.93 |
| Covenant Children's Hospital | Lubbock, TX | not published | $2,138.51 – $7,034.24 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $8,005.00 – $25,998.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $208.69 – $2,680.00 |
| Chandler Regional Medical Center | Chandler, AZ | not published | $189.40 – $194.14 |
| Arizona General Hospital Mesa | Mesa, AZ | not published | $207.78 – $2,248.85 |
| St. Joseph's Medical Center Stockton | Stockton, CA | not published | $181.57 – $2,906.43 |
| Sanford Luverne Medical Center | Luverne, MN | not published | $2,150.94 – $2,150.94 |
| Sanford Wheaton | Wheaton, MN | not published | $2,150.94 – $2,150.94 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $2,688.58 – $10,413.00 |
| Queen of The Valley Medical Center | Napa, CA | not published | $2,968.05 – $10,593.00 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | not published | $2,240.09 – $2,352.10 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $208.69 – $2,680.00 |
| Adventhealth Port Charlotte | Port Charlotte, FL | not published | $2,182.94 – $3,986.05 |
| St. Joseph's Behavioral Health Center | Stockton, CA | not published | $2,735.83 – $2,735.83 |
| Bakersfield Memorial Hospital | Bakersfield, CA | not published | $181.57 – $2,602.84 |
| Rose de Lima Hospital | Henderson, NV | not published | $184.57 – $2,309.25 |
| Sanford Bagley Medical Center | Bagley, MN | not published | $2,150.94 – $2,150.94 |
| Sanford Westbrook Hospital | Westbrook, MN | not published | $2,150.94 – $2,150.94 |
| Sanford Canby Medical Center | Canby, MN | not published | $2,150.94 – $2,150.94 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $576.00 – $3,628.95 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | not published | $181.57 – $2,602.84 |
| French Hospital | San Luis Obispo, CA | not published | $181.57 – $2,602.84 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | not published | $207.78 – $2,248.84 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $1,185.00 – $1,534.53 |
| Atrium Health Anson | Wadesboro, NC | not published | $183.39 – $548.31 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $1,549.00 – $16,897.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $1,528.00 – $6,832.00 |
| Southeastern Medical Center | Cambridge, OH | not published | $1,977.66 – $2,056.77 |
| Grant Medical Center | Columbus, OH | not published | $2,015.59 – $9,206.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | not published | $652.80 – $5,045.72 |
| Berger Hospital | Circleville, OH | not published | $508.87 – $7,007.00 |
| Banner Wyoming Medical Center | Casper, WY | not published | not published |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | not published | $7,984.00 – $13,923.00 |