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 |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas, TX | not published | $2,214.44 – $4,231.41 |
| Adventhealth Daytona Beach | Daytona Beach, FL | not published | $2,073.80 – $3,643.33 |
| St. John's Camarillo Hospital | Camarillo, CA | not published | $274.70 – $4,655.74 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $483.29 – $4,647.13 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $483.29 – $3,101.81 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $483.29 – $3,617.13 |
| Mercy Gilbert Medical Center | Gilbert, AZ | not published | $207.78 – $2,183.34 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $483.29 – $4,579.16 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $468.30 – $4,229.04 |
| Central Medical Center | Seattle, WA | not published | not published |
| Westside Medical Center | HILLSBORO, OR | not published | not published |
| Sunnyside Medical Center | CLACKAMAS, OR | not published | not published |
| Providence St Peter Hospital | Olympia, WA | not published | $2,043.50 – $8,326.29 |
| Providence Holy Family Hospital | Spokane, WA | not published | $2,329.41 – $6,462.00 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $533.00 – $3,628.95 |
| Ascension Providence | Waco, TX | not published | $652.80 – $3,348.23 |
| Adventhealth Ocala | Ocala, FL | not published | $2,182.94 – $4,846.13 |
| Adventhealth Manchester | Manchester, KY | not published | $1,961.39 – $1,961.39 |
| Adventhealth Fish Memorial | Orange City, FL | not published | $2,073.80 – $4,154.58 |
| Adventhealth Dade City | Dade City, FL | not published | $2,182.94 – $4,948.08 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $198.16 – $2,072.71 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $2,380.53 – $8,002.00 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $198.16 – $2,072.71 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $198.16 – $2,072.71 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $242.72 – $3,136.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $1,185.00 – $1,636.56 |
| Providence St Vincent Medical Center | Portland, OR | not published | $2,286.34 – $13,592.00 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $301.46 – $4,302.40 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $906.09 – $1,246.50 |
| Providence Centralia Hospital | Centralia, WA | not published | $2,420.64 – $10,363.57 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $43.71 – $910.38 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $1,778.00 – $3,768.77 |
| Adventhealth South Overland Park | Overland Park, KS | not published | $1,979.07 – $5,739.31 |
| Adventhealth Murray | Po Box 1406, GA | not published | $1,946.27 – $3,857.51 |
| St. Mary Medical Center | Long Beach, CA | not published | $163.41 – $4,164.54 |
| California Hospital Medical Center | Los Angeles, CA | not published | $163.41 – $2,899.57 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $207.21 – $719.33 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $43.71 – $910.38 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $198.16 – $2,072.71 |
| Providence Portland Medical Center | Portland, OR | not published | $2,286.34 – $13,592.00 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $228.98 – $1,814.55 |
| Sequoia Hospital | Redwood City, CA | not published | $181.57 – $9,402.96 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $1,977.66 – $3,559.80 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $43.71 – $910.38 |
| Grady Memorial Hospital | Delaware, OH | not published | $2,015.59 – $2,096.22 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $3,388.00 – $7,791.00 |
| St. Elizabeth Community Hospital | Red Bluff, CA | not published | $259.65 – $2,602.84 |
| Riverside Methodist Hospital | Columbus, OH | not published | $2,015.59 – $9,206.00 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $43.71 – $910.38 |