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 |
|---|---|---|---|
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $659.82 – $3,357.23 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $659.82 – $3,357.23 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $659.82 – $3,357.23 |
| Emory Hospital Warner Robins | Warner Robins, GA | not published | $1,872.59 – $5,345.54 |
| Emory Hospital Perry | Perry, GA | not published | $1,845.17 – $5,345.54 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $3,134.16 – $3,266.13 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $3,134.16 – $3,266.13 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $3,134.16 – $3,266.13 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $3,134.16 – $3,266.13 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $3,134.16 – $3,266.13 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $3,134.16 – $3,266.13 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $3,134.16 – $3,266.13 |
| HCA HealthONE AURORA | Aurora, CO | not published | $3,134.16 – $3,266.13 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $639.74 – $3,361.92 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $639.74 – $3,361.92 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $685.44 – $3,361.92 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $685.44 – $3,361.92 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $685.44 – $3,631.68 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $639.74 – $3,361.92 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $639.74 – $3,361.92 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $685.44 – $3,631.68 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $639.74 – $3,361.92 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $241.32 – $4,860.68 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $241.32 – $4,860.68 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $652.80 – $3,847.02 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $652.80 – $4,216.29 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $643.01 – $3,861.98 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $652.80 – $3,649.39 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $652.80 – $3,861.98 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $643.01 – $4,056.85 |
| Kettering Health Troy | Troy, OH | not published | $2,048.65 – $11,143.00 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $2,072.49 – $11,143.00 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $2,048.65 – $11,143.00 |
| Soin Medical Center | Beaver Creek, OH | not published | $2,059.67 – $11,143.00 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $2,059.67 – $11,143.00 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $2,072.49 – $11,143.00 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $2,059.67 – $11,143.00 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $2,020.59 – $8,282.00 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $2,020.59 – $9,839.00 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $652.80 – $3,826.55 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | not published | $970.00 – $9,421.28 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | not published | $768.75 – $1,101.92 |
| St. Clare Hospital | Lakewood, WA | not published | $5,046.94 – $5,046.94 |
| St. Francis Hospital | Federal Way, WA | not published | $5,046.94 – $5,046.94 |
| St. Elizabeth Hospital | Enumclaw, WA | not published | $5,046.94 – $5,046.94 |
| St. Michael Medical Center | Silverdale, WA | not published | $8,742.05 – $8,742.05 |
| St. Joseph Medical Center | Tacoma, WA | not published | $5,046.94 – $5,046.94 |
| St. Anthony Hospital | Gig Harbor, WA | not published | $5,046.94 – $5,046.94 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $2,493.80 – $6,339.31 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $156.54 – $182.63 |