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 |
|---|---|---|---|
| Providence Newberg Medical Center | Newberg, OR | not published | $2,286.34 – $4,252.03 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $1,550.71 – $7,791.00 |
| Methodist Hospital of Sacramento | Sacramento, CA | not published | $181.57 – $2,691.95 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $242.72 – $3,803.59 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $43.71 – $910.38 |
| Woodland Memorial Hospital | Woodland, CA | not published | $181.57 – $2,691.95 |
| Mercy Hospital of Folsom | Folsom, CA | not published | $181.57 – $2,691.95 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $783.39 – $783.39 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $43.71 – $910.38 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $2,135.66 – $3,844.19 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $1,977.66 – $3,559.80 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | not published | $1,977.66 – $3,559.80 |
| UPMC Wellsboro | Wellsboro, PA | not published | $140.80 – $787.20 |
| UPMC Northwest | Seneca, PA | not published | $140.80 – $2,050.66 |
| UPMC Mercy | Pittsburgh, PA | not published | $140.80 – $2,148.31 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $1,977.66 – $3,559.80 |
| Corewell Health Pennock | Hastings, MI | not published | $2,088.53 – $2,088.53 |
| UPMC Memorial | York, PA | not published | $162.56 – $3,142.91 |
| UPMC Hanover | Hanover, PA | not published | $162.56 – $3,131.10 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $1,528.00 – $5,080.00 |
| Advocate Trinity Hospital | Chicago, IL | not published | $3,096.34 – $12,362.00 |
| UPMC Hamot | Erie, PA | not published | $140.80 – $2,840.52 |
| UPMC Community Osteopathic | Harrisburg, PA | not published | $172.80 – $5,805.45 |
| UPMC Chautauqua | Jamestown, NY | not published | $160.00 – $2,603.03 |
| Mid Coast Hospital | Brunswick, ME | not published | $189.53 – $404.65 |
| Waldo County General Hospital | Belfast, ME | not published | $190.08 – $404.65 |
| Spring Harbor Hospital | Westbrook, ME | not published | $189.53 – $401.25 |
| Pen Bay Medical Center | Rockport, ME | not published | $190.08 – $404.65 |
| West Kendall Baptist Hospital | MIAMI, FL | not published | not published |
| Homestead Hospital | HOMESTEAD, FL | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON, FL | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH, FL | not published | not published |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $3,096.34 – $12,362.00 |
| Advocate Sherman Hospital | Elgin, IL | not published | $3,096.34 – $6,482.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $3,096.34 – $12,362.00 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $3,096.34 – $12,362.00 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | not published | $1,857.44 – $5,008.88 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $208.69 – $3,886.00 |
| Sanford USD Medical Center | Sioux Falls, SD | not published | $197.06 – $2,134.73 |
| Petaluma Valley Hospital | Petaluma, CA | not published | $2,570.00 – $6,619.00 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $239.63 – $3,241.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $208.69 – $2,680.00 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | not published | $1,979.07 – $5,739.31 |
| Arroyo Grande Hospital | Santa Maria, CA | not published | $181.57 – $2,602.84 |
| San Martin Hospital | Las Vegas, NV | not published | $184.57 – $2,309.25 |
| Arizona General Hospital Laveen | Phoenix, AZ | not published | $207.78 – $2,248.85 |
| Siena Hospital | Henderson, NV | not published | $184.57 – $2,309.25 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $4,338.18 – $15,448.00 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $43.71 – $910.38 |