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 |
|---|---|---|---|
| San Rafael Medical Center | SAN RAFAEL, CA | $8,377.60 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $8,377.60 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $8,377.60 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $8,377.60 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $8,377.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $8,377.60 | not published |
| Vallejo Medical Center | VALLEJO, CA | $8,377.60 | not published |
| Antioch Medical Center | ANTIOCH, CA | $8,377.60 | not published |
| Fremont Medical Center | FREMONT, CA | $8,377.60 | not published |
| Fresno Medical Center | FRESNO, CA | $8,377.60 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $8,377.60 | not published |
| San Jose Medical Center | SAN JOSE, CA | $8,377.60 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $8,377.60 | not published |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $9,479.50 | $170.13 – $3,961.25 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $9,518.35 | $166.05 – $3,961.25 |
| St Mary's Hospital | Richmond, VA | $10,917.83 | $3,536.51 – $3,607.24 |
| Northwestern Memorial Hospital | Chicago, IL | $11,281.63 | not published |
| Defiance Hospital | Defiance, OH | $11,689.86 | $2,079.66 – $2,121.26 |
| Mary Immaculate Hospital | Newport News, VA | $12,054.10 | $2,039.56 – $2,080.35 |
| Southside Regional Medical Center | Petersburg, VA | $12,055.05 | $2,039.56 – $2,080.35 |
| St Francis Downtown | Greenville, SC | $12,682.22 | $2,002.27 – $2,022.29 |
| AdventHealth Orlando | Orlando, FL | $12,815.00 | $2,182.94 – $5,784.80 |
| St Joseph Warren Hospital | Warren, OH | $12,876.30 | $1,977.66 – $2,017.22 |
| Texas Health Hospital Mansfield | Mansfield, TX | $13,147.33 | $2,099.91 – $4,781.00 |
| Lourdes Hospital | Paducah, KY | $13,701.90 | $2,078.00 – $2,119.56 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $14,156.57 | not published |
| St Ritas Medical Center | Lima, OH | $14,647.78 | $2,072.49 – $2,113.94 |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $15,076.79 | not published |
| MercyOne Dubuque Medical Center | Dubuque, IA | $15,355.61 | $0.18 – $4,176.77 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $15,488.00 | $169.28 – $13,433.32 |
| Adventhealth Hendersonville | Hendersonville, NC | $15,954.00 | $1,998.04 – $4,989.10 |
| Thomas Hospitals | South Charleston, WV | $16,079.50 | $205.80 – $10,098.42 |
| Clermont Hospital | Batavia, OH | $16,415.52 | $3,435.16 – $3,503.87 |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $17,062.96 | not published |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $17,644.62 | not published |
| Maryview Hospital | Portsmouth, VA | $17,726.50 | $2,039.56 – $2,080.35 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $18,513.85 | $9.09 – $4,058.30 |
| Adventhealth Carrollwood | Tampa, FL | $18,806.12 | $537.00 – $4,846.13 |
| MercyOne Clinton Medical Center | Clinton, IA | $19,281.76 | $2.28 – $4,473.33 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $19,729.32 | not published |
| Fairfield Hospital | Fairfield, OH | $20,493.05 | $3,494.80 – $3,564.70 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $20,683.82 | not published |
| St Anne Hospital | Toledo, OH | $24,746.16 | $2,030.71 – $2,071.33 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $29,036.13 | $0.96 – $4,235.59 |
| MercyOne North Iowa Medical Center | Mason City, IA | $31,044.70 | $9.09 – $4,528.77 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $673.02 – $3,357.23 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $659.82 – $3,357.23 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $1,341.36 – $8,272.76 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $659.82 – $3,357.23 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $659.82 – $3,357.23 |