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 |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $1,896.55 – $1,991.38 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $1,896.55 – $1,991.38 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $250.00 – $4,022.04 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $652.80 – $3,912.66 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $1,569.47 – $3,124.88 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $250.00 – $4,022.04 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $2,031.21 – $2,132.77 |
| Claiborne Medical Center | Tazewell, TN | not published | $2,031.21 – $2,132.77 |
| Roane County Medical Center | Harriman, TN | not published | $1,896.55 – $1,991.38 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | not published | $652.80 – $705.02 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $652.80 – $4,989.00 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | not published | $652.80 – $718.08 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $652.80 – $5,022.58 |
| CHI Health Midlands | Papillion, NE | not published | $375.38 – $375.38 |
| CHI Health Lakeside | Omaha, NE | not published | $375.38 – $375.38 |
| CHI Health Immanuel | Omaha, NE | not published | $375.38 – $375.38 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $652.80 – $2,267.58 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $652.80 – $3,872.58 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $652.80 – $4,219.94 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $652.80 – $2,267.58 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $652.80 – $3,872.58 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $652.80 – $3,912.66 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | not published | $375.38 – $375.38 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | not published | $652.80 – $718.08 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | not published | $652.80 – $718.08 |
| Texas Health Hospital Rockwall | Rockwall, TX | not published | $652.80 – $705.02 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | not published | $652.80 – $705.02 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | not published | $652.80 – $718.08 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | not published | $375.38 – $375.38 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | not published | $652.80 – $705.02 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | not published | $652.80 – $718.08 |
| Texas Health Hospital Frisco | Frisco, TX | not published | $652.80 – $705.02 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | not published | $652.80 – $705.02 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | not published | $652.80 – $718.08 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | not published | $652.80 – $718.08 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | not published | $652.80 – $718.08 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | not published | $652.80 – $705.02 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | not published | $652.80 – $705.02 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | not published | $652.80 – $718.08 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | not published | $652.80 – $718.08 |
| Adventhealth North Pinellas | Tarpon Springs, FL | not published | $506.00 – $4,846.13 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $721.27 – $721.27 |
| Kadlec Regional Medical Center | Richland, WA | not published | $331.61 – $6,572.45 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $198.16 – $2,072.71 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $1,804.81 – $4,309.40 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $2,286.34 – $13,592.00 |
| Adventhealth Sebring | Sebring, FL | not published | $2,237.52 – $4,960.96 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $198.16 – $2,072.71 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $2,225.00 – $8,574.30 |
| Covenant Health Hobbs Hospital | Hobbs, NM | not published | $2,073.51 – $2,902.92 |