Price Checker / CPT 54161
How much does Circum 28 Days Or Older cost?
CPT 54161 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 25x the fair price — among the most extreme markups. Dispute this.
Fair price
$270–$540
What this should cost
With insurance
~$2,650
Typical out-of-pocket
Overcharged if over
$680
Push back above this
The average hospital charge of $10,277 is $9,867 over the fair price (about 25x the fair rate).
What hospitals charge for Circum 28 Days Or Older
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Lafayette LAFAYETTE, IN | $36,231 | $9,311 | 19914% |
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $24,198 | — | 13267% |
| Los Alamos Medical Center LOS ALAMOS, NY | $23,361 | — | 12805% |
| Franciscan Health Olympia Fields , IL | $21,070 | $4,214 | 11539% |
| "St. Mary's General Hospital" PASSAIC, NJ | $15,390 | $3,062 | 8401% |
| Castleview Hospital PRICE, UT | $13,520 | — | 7368% |
| Troy Regional Medical Center TROY, AL | $10,000 | — | 5424% |
| Monroe Hospital BLOOMINGTON, IN | $9,261 | $2,398 | 5016% |
| EHHS Fulton Square Clinic , WI | $6,146 | $4,487 | 3295% |
| Marshfield Medical Center Rice Lake Hospital RICE LAKE, WI | — | — | 3216% |
| Dallas County Hospital PERRY, IA | $5,594 | $3,636 | 2990% |
| Monroe Regional Hospital ABERDEEN, MS | $5,315 | $5,315 | 2836% |
| Greater Regional Medical Center CRESTON, IA | $4,878 | — | 2460% |
| Chambers Health Anahuac, TX | $5,263 | — | 2226% |
| Northern Itasca Hospital District , MN | $3,974 | $2,821 | 2095% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Circum 28 Days Or Older
CPT code 54161 refers to circum 28 days or older (billing description: "Circum 28 days or older"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $181 in a facility (hospital or surgery center) and $181 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.