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 |
|---|---|---|---|
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $3,096.34 – $12,362.00 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $2,329.41 – $2,562.35 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $314.52 – $786.46 |
| Banner Thunderbird Medical Center | Glendale, AZ | not published | $72.99 – $1,299.92 |
| Banner Ocotillo Medical Center | Chandler, AZ | not published | $1,299.92 – $3,268.08 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | not published | $1,299.92 – $3,268.08 |
| Banner Gateway Medical Center | Gilbert, AZ | not published | $1,299.92 – $3,268.08 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $1,528.00 – $6,826.00 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $1,522.84 – $8,124.00 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $1,528.00 – $7,309.00 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $301.46 – $4,302.40 |
| Banner Estrella Medical Center | Phoenix, AZ | not published | $1,299.92 – $3,268.08 |
| Banner Desert Medical Center | Mesa, AZ | not published | $1,299.92 – $3,268.08 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $3,096.34 – $8,003.00 |
| UPMC Bedford | Everett, PA | not published | $134.40 – $2,109.25 |
| UPMC Altoona | Altoona, PA | not published | $128.00 – $2,109.25 |
| UPMC Carlisle | Carlisle, PA | not published | $162.56 – $3,135.44 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $3,096.34 – $12,362.00 |
| Banner Del Webb Medical Center | Sun City West, AZ | not published | $1,271.44 – $1,299.92 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $2,329.41 – $5,928.34 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $576.00 – $3,628.95 |
| Adventhealth Tampa | Tampa, FL | not published | $537.00 – $4,846.13 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | not published | $2,073.80 – $4,662.55 |
| Adventhealth Ottawa | Ottawa, KS | not published | $1,965.75 – $5,562.00 |
| Adventhealth Lake Wales | Lake Wales, FL | not published | $2,182.94 – $4,846.13 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $314.52 – $786.46 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | not published | $1,299.92 – $1,913.86 |
| Banner Boswell Medical Center | Sun City, AZ | not published | $1,299.92 – $2,495.41 |
| Banner Baywood Medical Center | Mesa, AZ | not published | $1,299.92 – $3,268.08 |
| Banner University Medical Center South | Tucson, AZ | not published | $1,299.92 – $1,963.82 |
| Community Hospital San Bernardino | San Bernardino, CA | not published | $181.57 – $5,075.54 |
| Banner University Medical Center Tucson | Tucson, AZ | not published | $1,299.92 – $2,788.18 |
| Lincoln Health | Damariscotta, ME | not published | $190.08 – $404.65 |
| CHI Health St. Francis | Grand Island, NE | not published | $375.38 – $375.38 |
| CHI Health St. Elizabeth | Lincoln, NE | not published | $375.38 – $375.38 |
| CHI Health Nebraska Heart | Lincoln, NE | not published | $375.38 – $375.38 |
| CHI Health Good Samaritan | Kearney, NE | not published | $375.38 – $375.38 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $643.01 – $4,234.00 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $652.80 – $2,604.18 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | not published | $1,471.00 – $4,166.57 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | not published | $2,059.00 – $4,342.00 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $652.80 – $2,356.16 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $2,080.35 – $2,141.53 |
| Adventhealth Waterman | Tavares, FL | not published | $2,182.94 – $4,404.74 |
| Adventhealth Palm Coast | Palm Coast, FL | not published | $2,073.80 – $4,662.55 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $721.27 – $721.27 |
| Stephens Memorial Hospital | Norway, ME | not published | $190.08 – $404.65 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $1,185.00 – $1,246.50 |
| Corewell Health Wayne | Wayne, MI | not published | $402.42 – $2,813.08 |
| Corewell Health Troy | Troy, MI | not published | $281.35 – $2,811.87 |