Price AtlasInteractive atlas · All states · techysurgeon.comCircumcision (after newborn period): what insurers pay
Surgical circumcision, older than 28 days. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 54161: Circumcision (After Newborn Period)
1186 hospitals in 79 markets. National Medicare rate $2,136, surgery center $1,002.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 17 | $2,356 | $2,675 | $3,333 | $1,052–$3,900 |
| Alaska (statewide) | 3 | — | — | — | $1,534–$11,188 |
| Arizona (statewide) | 10 | $2,511 | $2,977 | $3,639 | $1,336–$5,282 |
| Arkansas (statewide) | 11 | $1,803 | $1,854 | $1,924 | $1,472–$2,831 |
| Atlanta GA | 6 | $4,175 | $4,175 | $4,579 | $4,175–$4,714 |
| Austin TX | 13 | $1,701 | $3,322 | $4,836 | $1,701–$4,863 |
| Boston MA | 14 | $2,699 | $3,320 | $3,792 | $1,990–$5,346 |
| California (statewide) | 66 | $3,666 | $6,044 | $7,752 | $1,838–$11,383 |
| Charlotte NC | 5 | $2,435 | $2,435 | $2,435 | $2,402–$2,435 |
| Chicago IL | 8 | $3,930 | $4,278 | $6,915 | $2,854–$7,295 |
| Cleveland OH | 11 | $2,974 | $3,484 | $3,720 | $2,593–$3,810 |
| Colorado (statewide) | 15 | $3,648 | $4,923 | $5,674 | $1,416–$7,895 |
| Columbus OH | 1 | — | — | — | $7,519–$7,519 |
| Connecticut (statewide) | 3 | — | — | — | $2,779–$8,709 |
| Dallas-Fort Worth TX | 12 | $4,182 | $4,807 | $4,916 | $3,860–$8,913 |
| Denver CO | 15 | $2,708 | $5,105 | $5,396 | $1,416–$6,170 |
| Detroit MI | 15 | $2,772 | $2,877 | $3,594 | $1,348–$5,812 |
| Florida (statewide) | 61 | $4,452 | $5,172 | $5,829 | $1,330–$13,250 |
| Georgia (statewide) | 30 | $2,836 | $4,423 | $4,714 | $1,088–$14,666 |
| Hawaii (statewide) | 6 | $2,876 | $3,514 | $3,724 | $1,925–$5,672 |
| Houston TX | 19 | $3,654 | $3,990 | $4,052 | $2,831–$4,151 |
| Idaho (statewide) | 15 | $1,934 | $2,265 | $4,352 | $1,059–$6,171 |
| Illinois (statewide) | 32 | $2,981 | $3,577 | $5,689 | $1,654–$10,500 |
| Indiana (statewide) | 34 | $2,489 | $4,938 | $6,868 | $1,263–$8,856 |
| Iowa (statewide) | 21 | $2,148 | $3,282 | $4,266 | $2,028–$6,344 |
| Kansas (statewide) | 19 | $2,682 | $3,107 | $3,744 | $2,108–$11,188 |
| Kentucky (statewide) | 15 | $2,293 | $2,683 | $2,845 | $1,613–$3,652 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $3,898 | $5,214 | $5,729 | $3,747–$14,342 |
| Louisiana (statewide) | 24 | $2,256 | $2,688 | $4,026 | $1,088–$5,583 |
| Maine (statewide) | 17 | $8,394 | $9,425 | $9,745 | $2,214–$12,252 |
| Massachusetts (statewide) | 9 | $1,990 | $2,503 | $2,837 | $1,821–$3,387 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,445–$3,825 |
| Michigan (statewide) | 28 | $2,313 | $2,784 | $3,349 | $1,168–$4,212 |
| Minneapolis-St. Paul MN | 8 | $3,695 | $3,705 | $3,836 | $2,991–$4,518 |
| Minnesota (statewide) | 13 | $3,705 | $5,432 | $6,296 | $2,148–$7,530 |
| Mississippi (statewide) | 15 | $3,083 | $3,320 | $3,624 | $937–$5,701 |
| Missouri (statewide) | 22 | $2,814 | $3,708 | $4,541 | $1,290–$6,897 |
| Montana (statewide) | 6 | $4,408 | $4,746 | $5,676 | $4,146–$6,052 |
| Nashville TN | 8 | $2,534 | $2,612 | $3,032 | $1,637–$4,452 |
| Nebraska (statewide) | 12 | $3,376 | $4,199 | $4,659 | $3,376–$6,799 |
| Nevada (statewide) | 2 | — | — | — | $3,979–$5,320 |
| New Hampshire (statewide) | 6 | $4,632 | $6,084 | $6,900 | $3,548–$9,361 |
| New Jersey (statewide) | 22 | $3,298 | $4,522 | $5,526 | $2,377–$9,421 |
| New Mexico (statewide) | 8 | $3,982 | $6,973 | $10,146 | $1,883–$12,650 |
| New York (statewide) | 33 | $2,848 | $3,636 | $4,686 | $1,502–$7,210 |
| New York City | 8 | $3,205 | $3,370 | $6,214 | $3,205–$8,434 |
| North Carolina (statewide) | 8 | $3,881 | $5,178 | $5,739 | $2,038–$9,044 |
| North Dakota (statewide) | 5 | $3,597 | $3,712 | $4,654 | $2,312–$5,560 |
| Ohio (statewide) | 38 | $3,294 | $4,626 | $6,016 | $1,657–$8,034 |
| Oklahoma (statewide) | 14 | $2,261 | $3,682 | $4,532 | $1,664–$7,918 |
| Oregon (statewide) | 11 | $4,894 | $5,246 | $7,245 | $2,012–$9,496 |
| Pennsylvania (statewide) | 39 | $2,819 | $4,300 | $6,189 | $1,060–$9,244 |
| Philadelphia PA | 11 | $3,560 | $3,680 | $5,201 | $3,316–$8,155 |
| Phoenix AZ | 8 | $2,876 | $3,004 | $3,039 | $2,600–$3,039 |
| Pittsburgh PA | 6 | $2,709 | $3,558 | $4,404 | $1,684–$5,156 |
| Portland OR | 9 | $6,073 | $6,073 | $8,673 | $6,058–$8,673 |
| Research Triangle NC | 1 | — | — | — | $1,995–$1,995 |
| Rhode Island (statewide) | 5 | $2,806 | $4,628 | $5,898 | $2,055–$6,270 |
| Richmond VA | 3 | — | — | — | $4,934–$5,051 |
| Rio Grande Valley TX | 6 | $2,732 | $2,800 | $4,310 | $2,716–$4,889 |
| Salt Lake City UT | 9 | $2,259 | $2,336 | $2,336 | $1,854–$2,413 |
| San Antonio TX | 3 | — | — | — | $3,150–$4,590 |
| San Diego CA | 7 | $4,668 | $4,705 | $4,705 | $3,845–$4,958 |
| San Francisco Bay Area CA | 6 | $5,453 | $5,870 | $6,200 | $5,194–$19,507 |
| Seattle-Tacoma WA | 16 | $5,920 | $6,058 | $6,319 | $5,446–$7,354 |
| South Carolina (statewide) | 30 | $6,575 | $7,811 | $9,158 | $2,904–$10,918 |
| South Dakota (statewide) | 3 | — | — | — | $2,532–$10,502 |
| St. Louis MO | 8 | $3,234 | $6,188 | $6,730 | $2,975–$8,636 |
| Tampa FL | 6 | $6,291 | $6,291 | $6,291 | $3,106–$9,268 |
| Tennessee (statewide) | 25 | $2,102 | $2,335 | $2,749 | $1,811–$4,659 |
| Texas (statewide) | 78 | $2,573 | $3,770 | $4,807 | $1,413–$8,220 |
| Utah (statewide) | 7 | $1,937 | $2,259 | $2,298 | $1,854–$7,067 |
| Vermont (statewide) | 1 | — | — | — | $6,776–$6,776 |
| Virginia (statewide) | 19 | $5,051 | $6,432 | $7,420 | $4,150–$10,053 |
| Washington (statewide) | 16 | $2,372 | $5,133 | $6,148 | $2,088–$9,970 |
| Washington DC | 8 | $3,614 | $4,413 | $4,413 | $3,273–$4,413 |
| West Virginia (statewide) | 9 | $3,492 | $3,521 | $6,795 | $2,274–$13,917 |
| Wisconsin (statewide) | 33 | $5,796 | $6,825 | $6,825 | $3,609–$9,046 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Greene County Hospital | Mississippi (statewide) | $937 | 0.5× | 1 | 2026-06-05 |
| Usa Health University Hospital | Alabama (statewide) | $1,052 | 0.6× | 1 | 2026-04-30 |
| Steele Memorial Medical Center | Idaho (statewide) | $1,059 | 0.5× | 1 | 2026-02-26 |
| Upmc Cole | Pennsylvania (statewide) | $1,060 | 0.5× | 1 | 2026-03-06 |
| Union General Hospital | Georgia (statewide) | $1,088 | 0.6× | 1 | 2026-03-23 |
| Union General Hospital | Louisiana (statewide) | $1,088 | 0.6× | 1 | 2026-03-23 |
| Oaklawn Hospital | Michigan (statewide) | $1,168 | 0.6× | 2 | 2026-03-27 |
| Pulaski Memorial Hospital | Indiana (statewide) | $1,263 | 0.6× | 6 | 2026-07-07 |
| North Canyon Medical Center | Idaho (statewide) | $1,271 | 0.6× | 8 | 2026-04-13 |
| Pemiscot County Memorial Hospital | Missouri (statewide) | $1,290 | 0.6× | 1 | 2026-07-01 |
| Baptist Hospital | Florida (statewide) | $1,330 | 0.6× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,330 | 0.6× | 8 | 2025-12-23 |
| Providence Medical Center | Kansas (statewide) | $11,188 | 5.7× | 2 | 2026-04-01 |
| Mission Community Hospital | California (statewide) | $11,383 | 4.2× | 2 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $12,252 | 6.0× | 1 | 2025-09-09 |
| Los Alamos Medical Center | New Mexico (statewide) | $12,650 | 6.1× | 1 | 2026-07-10 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $12,890 | 6.4× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $12,890 | 7.0× | 1 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $13,250 | 6.1× | 24 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $13,917 | 6.9× | 1 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,342 | 5.3× | 3 | 2025-11-26 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $14,666 | 7.0× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $14,666 | 7.0× | 2 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 6.3× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for circumcision (after newborn period)?
Across 1186 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 54161, hospital outpatient is $4,055, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,836 to $5,729. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for circumcision (after newborn period)?
Medicare's national hospital outpatient rate for CPT 54161 is $2,136 and its surgery-center rate is $1,002, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for circumcision (after newborn period)?
Lowest medians: Greene County Hospital ($937), Usa Health University Hospital ($1,052), Steele Memorial Medical Center ($1,059). Highest: Stanford Health Care ($19,507), Northeast Georgia Medical Center Lumpkin ($14,666), Northeast Georgia Medical Center Barrow ($14,666). Coverage: every hospital whose price file we could read.