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 |
|---|---|---|---|
| Virginia Mason Medical Center | Seattle, WA | $3,365.49 | $5.75 – $905.30 |
| Willard Hospital | Willard, OH | $3,633.00 | not published |
| Camden Clark Medical Center | Parkersburg, WV | $3,667.34 | $205.80 – $3,491.92 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $3,676.40 | not published |
| Downey Medical Center | Downey, CA | $3,676.40 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $3,676.40 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $3,676.40 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $3,676.40 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $3,676.40 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $3,676.40 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $3,676.40 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $3,676.40 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $3,676.40 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $3,676.40 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $3,676.40 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $3,676.40 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $3,765.84 | $2,908.69 – $6,732.00 |
| Community Medical Center | Toms River, NJ | $3,786.00 | $164.90 – $4,455.17 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $3,817.88 | $163.60 – $3,482.47 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $3,860.64 | $896.79 – $5,362.00 |
| Marcum Wallace Hospital | Irvine, KY | $3,939.60 | not published |
| Clara Maass Medical Center | Belleville, NJ | $3,986.00 | $159.08 – $4,573.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $4,074.80 | $71.00 – $5,093.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $4,074.80 | $71.00 – $6,112.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $4,074.80 | $71.00 – $6,112.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $4,074.80 | $71.00 – $5,433.06 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $4,350.00 | $396.73 – $4,455.17 |
| Allen Hospital | Oberlin, OH | $4,397.40 | not published |
| Princeton Community Hospital | Princeton, WV | $4,428.50 | $128.00 – $12,447.52 |
| Reynolds Memorial Hospital | Glen Dale, WV | $4,492.00 | $134.40 – $3,491.92 |
| St Francis Eastside | Greenville, SC | $4,608.60 | not published |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $4,627.00 | $187.21 – $4,455.17 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $4,776.00 | $2,031.35 – $16,088.00 |
| Newark Beth Israel Medical Center | Newark, NJ | $4,881.00 | $103.22 – $4,596.52 |
| Baptist Hospital | MIAMI, FL | $4,968.60 | $173.17 – $6,879.60 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $5,110.00 | $153.26 – $4,455.17 |
| Wellstar Cobb Hospital | Austell, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar Douglas Hospital | Douglasville, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar Kennestone Hospital | Marietta, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar MCG Health | Augusta, GA | $5,118.75 | $1,694.00 – $4,238.00 |
| Wellstar North Fulton Hospital | Roswell, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar Paulding Hospital | Hiram, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $5,118.75 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| Wellstar Windy Hill Hospital | Marietta, GA | $5,118.75 | $1,694.00 – $6,179.00 |
| West Virginia University Hospitals | Morgantown, WV | $5,334.34 | $134.40 – $5,332.04 |
| Jersey City Medical Center | Jersey City, NJ | $5,339.00 | $129.76 – $4,800.78 |
| AdventHealth Parker | Parker, CO | $5,406.23 | $353.24 – $4,079.46 |