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 |
|---|---|---|---|
| Corewell Health Trenton | Trenton, MI | not published | $403.94 – $2,813.08 |
| Henry Ford Warren Hospital | Warren, MI | not published | $301.36 – $1,381.00 |
| Corewell Health Taylor | Taylor, MI | not published | $406.20 – $2,813.08 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $282.71 – $2,813.08 |
| Corewell Health Zeeland | Zeeland, MI | not published | $2,082.87 – $3,749.16 |
| Corewell Health Greenville | Greenville, MI | not published | $2,082.87 – $3,749.16 |
| 64-0772726 BMH North Mississippi | Oxford, MS | not published | $1,489.00 – $5,218.22 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $906.09 – $1,246.50 |
| 64-0682111 BMH DeSoto | Southaven, MS | not published | $1,782.03 – $5,252.30 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $2,082.87 – $3,749.16 |
| 64-0663760 BMH Booneville | Booneville, MS | not published | $1,751.70 – $5,109.13 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | not published | $1,489.00 – $5,246.44 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | not published | $1,627.37 – $3,741.08 |
| 62-0123940 BMH Collierville | Collierville, TN | not published | $1,115.49 – $3,751.64 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | not published | $220.30 – $245.51 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $301.36 – $1,381.00 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $220.30 – $362.58 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $220.30 – $415.76 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $220.30 – $415.76 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $220.30 – $420.59 |
| Henry Ford River District Hospital | China Township, MI | not published | $301.36 – $1,381.00 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $906.09 – $1,246.50 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $220.30 – $362.58 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $43.71 – $910.38 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $43.71 – $910.38 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $1,183.39 – $3,218.00 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $252.10 – $1,875.04 |
| 26-1214372 NEA Baptist | Jonesboro, AR | not published | $250.00 – $3,775.24 |
| Covenant Medical Center | Lubbock, TX | not published | $1,183.39 – $6,330.82 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $3,405.41 – $3,653.88 |
| Henry Ford St John Hospital | Detroit, MI | not published | $301.36 – $1,381.00 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $2,082.87 – $3,749.16 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $189.53 – $401.25 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $43.71 – $910.38 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $2,082.87 – $4,038.19 |
| Dublin Methodist Hospital | Dublin, OH | not published | $2,015.59 – $9,206.00 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $2,286.34 – $13,592.00 |
| Corewell Health Gerber | Fremont, MI | not published | $2,088.53 – $2,088.53 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $2,082.87 – $3,749.16 |
| Banner University Medical Center Phoenix | Phoenix, AZ | not published | $1,271.44 – $1,299.92 |
| Inova Mount Vernon Hospital | Alexandria, VA | not published | $2,048.51 – $4,413.00 |
| Inova Loudoun Hospital | Leesburg, VA | not published | $2,048.51 – $4,413.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $1,579.16 – $6,798.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | not published | $2,048.51 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church, VA | not published | $2,048.51 – $4,413.00 |
| Inova Alexandria Hospital | Alexandria, VA | not published | $2,048.51 – $4,413.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $1,522.84 – $6,687.00 |
| Franklin Memorial Hospital | Farmington, ME | not published | $190.08 – $404.65 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $652.80 – $2,394.00 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | not published | $1,285.00 – $1,285.00 |