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 Littleton | Littleton, CO | $5,406.23 | $353.24 – $4,079.46 |
| AdventHealth Porter | Denver, CO | $5,406.23 | $353.24 – $4,079.46 |
| AdventHealth Avista | Louisville, CO | $5,406.23 | $353.24 – $4,124.73 |
| AdventHealth Castle Rock | Castle Rock, CO | $5,406.23 | $353.24 – $4,079.46 |
| Monmouth Medical Center | Long Branch, NJ | $5,419.00 | $318.16 – $4,512.15 |
| Berkeley Medical Center | Martinsburg, WV | $5,694.00 | $136.96 – $3,520.70 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $5,741.00 | $146.47 – $4,991.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $5,767.05 | $71.00 – $8,650.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $5,767.05 | $85.00 – $8,650.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $5,767.05 | $652.80 – $8,650.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $5,767.05 | $71.00 – $7,208.81 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $5,767.05 | $71.00 – $8,650.58 |
| Emory Decatur Hospital | Decatur, GA | $5,810.00 | $2,096.71 – $5,345.54 |
| Emory Hillandale Hospital | Lithonia, GA | $5,810.00 | $2,096.71 – $5,345.54 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $5,810.00 | $4,557.00 – $4,557.00 |
| Emory Johns Creek Hospital | Johns Creek, GA | $5,810.00 | $2,123.23 – $5,345.54 |
| Emory Rehabilitation Hospital | Atlanta, GA | $5,810.00 | $1,920.98 – $5,345.54 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $5,810.00 | $2,123.23 – $5,345.54 |
| Emory University Hospital | Ne, GA | $5,810.00 | $2,096.71 – $5,345.54 |
| Emory University Hospital Midtown | Atlanta, GA | $5,810.00 | $2,123.23 – $5,345.54 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $5,855.00 | $100.27 – $4,477.56 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $5,869.44 | $2,420.64 – $8,308.57 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $5,869.44 | $2,420.64 – $8,627.45 |
| Swedish Issaquah | Issaquah, WA | $5,869.44 | $2,427.43 – $8,627.45 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $5,888.19 | $174.37 – $4,348.95 |
| cleveland clinic main campus | Cleveland, OH | $6,124.95 | $0.01 – $8,480.70 |
| avon hospital | Avon, OH | $6,124.95 | $0.01 – $8,480.70 |
| euclid hospital | Euclid, OH | $6,124.95 | $0.01 – $8,480.70 |
| fairview hospital | Cleveland, OH | $6,124.95 | $0.01 – $8,480.70 |
| lutheran hospital | Cleveland, OH | $6,124.95 | $0.01 – $8,480.70 |
| hillcrest hospital | Mayfield Heights, OH | $6,124.95 | $0.01 – $8,480.70 |
| marymount hospital | Garfield Heights, OH | $6,124.95 | $0.01 – $8,480.70 |
| medina hospital | Medina, OH | $6,124.95 | $0.01 – $8,480.70 |
| mercy hospital | Canton, OH | $6,124.95 | $0.01 – $8,480.70 |
| south pointe hospital | Warrensville Heights, OH | $6,124.95 | $0.01 – $8,480.70 |
| Jackson General Hospital | Ripley, WV | $6,244.50 | not published |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $6,253.08 | $1,310.28 – $3,030.00 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $6,311.00 | $106.16 – $4,455.17 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $6,703.07 | $174.37 – $4,752.78 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $6,839.00 | $161.02 – $4,596.52 |
| cleveland clinic florida weston hospital | Weston, FL | $7,656.35 | $143.79 – $10,012.15 |
| martin north hospital | Stuart, FL | $7,656.35 | $152.43 – $5,889.50 |
| indian river hospital | Vero Beach, FL | $7,656.35 | $143.79 – $9,423.20 |
| St Elizabeth Boardman Hospital | Youngstown, OH | $7,687.50 | $1,977.66 – $2,017.22 |
| Tiffin Hospital | Tiffin, OH | $7,733.10 | $1,972.54 – $1,972.54 |
| Redwood City Medical Center | Redwood City, CA | $8,377.60 | not published |
| Oakland Medical Center | Oakland, CA | $8,377.60 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $8,377.60 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $8,377.60 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $8,377.60 | not published |