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 |
|---|---|---|---|
| Covenant Hospital Levelland | Levelland, TX | not published | $2,036.91 – $7,700.57 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $1,528.38 – $9,297.00 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $3,388.00 – $7,791.00 |
| Mercy General Hospital | Sacramento, CA | not published | $181.57 – $2,961.14 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $43.71 – $910.38 |
| Marion General Hospital | Marion, OH | not published | $1,995.99 – $2,075.83 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $2,030.46 – $8,701.00 |
| St. Bernardine Medical Center | San Bernardino, CA | not published | $181.57 – $5,075.54 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $43.71 – $910.38 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $2,285.30 – $6,652.00 |
| Doctors Hospital | Columbus, OH | not published | $2,059.67 – $9,206.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $301.46 – $3,920.41 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | not published | $1,285.00 – $1,285.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | not published | $1,285.00 – $1,285.00 |
| Mercy Medical Center Redding | Redding, CA | not published | $288.70 – $2,602.84 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $183.39 – $548.31 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $1,857.44 – $3,559.80 |
| Atrium Health University City | Charlotte, NC | not published | $183.39 – $548.31 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $43.71 – $910.38 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $183.39 – $548.31 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $2,157.02 – $6,052.50 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $2,285.30 – $6,920.00 |
| Baylor St Luke's Medical Center | Houston, TX | not published | $1,285.00 – $1,285.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | not published | $246.94 – $780.74 |
| Northridge Hospital Medical Center | Northridge, CA | not published | $181.57 – $907.85 |
| Dominican Hospital | Santa Cruz, CA | not published | $181.57 – $8,808.98 |
| Mercy Medical Center Merced | Merced, CA | not published | $181.57 – $2,602.84 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | not published | $181.57 – $2,691.95 |
| Atrium Health Union | Monroe, NC | not published | $183.39 – $548.31 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $183.39 – $548.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | not published | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | not published | $652.80 – $5,045.72 |
| Atrium Health Cabarrus | Concord, NC | not published | $183.39 – $548.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | not published | $652.80 – $5,045.72 |
| Atrium Health Cleveland | Shelby, NC | not published | $183.39 – $548.31 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $183.39 – $393.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | not published | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | not published | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | not published | $652.80 – $5,045.72 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $208.69 – $2,680.00 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $576.00 – $3,628.95 |
| Adventhealth Zephyrhills | Zephyrhills, FL | not published | $2,182.94 – $5,062.46 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | not published | $2,182.94 – $4,846.13 |
| Adventhealth Redmond | Rome, GA | not published | $2,111.58 – $10,887.00 |
| Adventhealth Gordon | Calhoun, GA | not published | $964.00 – $4,208.24 |
| Adventhealth Central Texas | Killeen, TX | not published | $2,099.91 – $4,231.41 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $721.27 – $721.27 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $207.21 – $719.33 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $198.16 – $2,072.71 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $198.16 – $2,072.71 |