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 |
|---|---|---|---|
| Moanalua Medical Center | HONOLULU, HI | $1,353.00 | not published |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $1,366.20 | $30.00 – $2,879.47 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $1,495.50 | $1,571.00 – $5,978.00 |
| Sentara RMH Medical Center | Harrisonburg, VA | $1,495.50 | $2,080.35 – $2,141.53 |
| St Francis Medical Center | Midlothian, VA | $1,546.20 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $1,546.20 | not published |
| Richmond Community Hospital | Richmond, VA | $1,546.20 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $1,600.00 | $2,080.35 – $4,564.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $1,600.00 | $2,080.35 – $4,564.00 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $1,600.00 | $2,080.35 – $4,564.00 |
| Sentara Obici Hospital | Suffolk, VA | $1,600.00 | $2,080.35 – $4,564.00 |
| Sentara CarePlex Hospital | Hampton, VA | $1,600.00 | $2,080.35 – $2,141.53 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $1,600.00 | $2,080.35 – $3,486.00 |
| Sentara Norfolk General Hospital | Norfolk, VA | $1,600.00 | $2,080.35 – $4,564.00 |
| MUSC Health Florence Medical Center | Florence, SC | $1,918.50 | $1,944.22 – $9,733.00 |
| Sentara Halifax Regional Hospital | South Boston, VA | $2,090.50 | not published |
| MUSC Health Black River Medical Center | Cades, SC | $2,217.50 | $1,944.22 – $9,269.00 |
| Ocean University Medical Center | Brick, NJ | $2,238.78 | $407.54 – $2,686.53 |
| Southern Ocean Medical Center | Manahawkin, NJ | $2,238.78 | $407.54 – $2,686.53 |
| Bayshore Medical Center | Holmdel, NJ | $2,267.41 | $2,267.41 – $2,720.90 |
| Jersey Shore University Medical Center | Neptune City, NJ | $2,267.41 | $407.54 – $2,720.90 |
| Riverview Medical Center | Red Bank, NJ | $2,267.41 | $407.54 – $2,720.90 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $2,269.38 | $242.50 – $2,723.26 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $2,269.38 | $194.00 – $2,269.38 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $2,394.70 | $203.86 – $3,935.00 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $2,397.00 | $1,977.66 – $3,955.33 |
| United Hospital Center | Bridgeport, WV | $2,403.00 | $205.80 – $3,771.16 |
| Hackensack University Medical Center | Hackensack, NJ | $2,412.45 | $420.66 – $2,533.07 |
| Palisades Medical Center | North Bergen, NJ | $2,412.45 | $191.09 – $2,629.57 |
| Bellevue Hospital Center | NY 10016, NY | $2,424.12 | $0.01 – $3,914.09 |
| Kings County Hospital Center | Brooklyn, NY | $2,424.12 | $0.01 – $3,914.09 |
| Lincoln Medical Center | Bronx, NY | $2,424.12 | $0.01 – $2,948.61 |
| Metropolitan Hospital Center | New York, NY | $2,424.12 | $0.01 – $2,948.61 |
| Harlem Hospital Center | New York, NY | $2,424.12 | $0.01 – $2,948.61 |
| Woodhull Medical Center | Brooklyn, NY | $2,424.12 | $0.01 – $3,914.09 |
| Queens Hospital Center | Jamaica, NY | $2,424.12 | $0.01 – $3,914.09 |
| Elmhurst Hospital Center | NY 11373, NY | $2,424.12 | $0.01 – $2,948.61 |
| Jacobi Medical Center | Bronx, NY | $2,424.12 | $0.01 – $3,914.09 |
| South Brooklyn Health | Brooklyn, NY | $2,424.12 | $0.01 – $2,948.61 |
| North Central Bronx | Bronx, NY | $2,424.12 | $0.01 – $3,914.09 |
| Uniontown Hospital | Uniontown, PA | $2,519.50 | $140.80 – $4,208.25 |
| Harbour View Medical Center | Suffolk, VA | $2,577.60 | not published |
| Wetzel County Hospital | New Martinsville, WV | $2,784.50 | $140.80 – $3,739.85 |
| Sanford Medical Center Bismarck | Bismarck, ND | $2,846.40 | $197.06 – $3,202.20 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $2,874.36 | $115.45 – $6,728.13 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $2,874.36 | $115.45 – $4,980.22 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $2,874.36 | $115.45 – $5,018.74 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $2,874.36 | $115.45 – $4,993.24 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $3,066.50 | $1,944.22 – $2,444.26 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $3,066.50 | $1,944.22 – $2,138.64 |