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Circumcision (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: Circum 28 Days Or Older

93 hospitals in 32 markets. National Medicare rate $2,136, surgery center $1,002.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$4,175–$4,175
Austin TX2———$1,701–$5,386
Boston MA7$2,716$2,789$3,138$2,550–$4,170
California (statewide)1———$8,270–$8,270
Chicago IL5$3,608$4,038$4,306$2,854–$6,788
Cleveland OH5$3,484$3,502$3,932$3,174–$4,757
Dallas-Fort Worth TX4———$4,302–$7,368
Denver CO7$3,352$4,371$4,559$2,340–$5,980
Detroit MI6$2,772$2,938$3,516$2,772–$5,812
Georgia (statewide)1———$4,797–$4,797
Houston TX1———$3,614–$3,614
Kansas (statewide)1———$3,708–$3,708
Las Vegas NV1———$2,738–$2,738
Los Angeles CA2———$7,565–$14,342
Miami-Fort Lauderdale FL1———$9,046–$9,046
Minneapolis-St. Paul MN1———$2,991–$2,991
Nashville TN4———$1,637–$2,895
New York (statewide)1———$5,762–$5,762
New York City2———$6,507–$8,442
Ohio (statewide)1———$5,206–$5,206
Philadelphia PA5$3,640$6,648$6,993$3,453–$8,155
Phoenix AZ3———$2,968–$3,039
Portland OR6$6,073$6,073$10,488$6,073–$11,960
Research Triangle NC1———$1,995–$1,995
Richmond VA2———$5,224–$5,224
San Antonio TX1———$3,695–$3,695
San Francisco Bay Area CA3———$10,632–$19,507
Seattle-Tacoma WA6$6,377$6,841$7,526$5,578–$7,609
St. Louis MO6$4,338$6,730$7,345$2,022–$9,261
Tampa FL2———$3,630–$6,291
Washington DC3———$3,609–$4,413
Wisconsin (statewide)1———$4,744–$4,744
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas RutherfordNashville TN$1,6370.8×12026-01-01
Ascension Seton Medical Center AustinAustin TX$1,7010.8×12026-01-01
North Carolina Specialty HospitalResearch Triangle NC$1,9951.0×12026-02-25
Mercy Hospital SouthSt. Louis MO$2,0221.0×12026-06-10
Adventhealth PorterDenver CO$2,3401.1×42026-04-01
Adventhealth ParkerDenver CO$2,3401.1×42026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,4101.2×22026-01-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,5501.0×22026-04-01
Vanderbilt University Medical CenterNashville TN$2,6341.3×72025-10-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,7091.1×22026-04-01
New England Baptist HospitalBoston MA$2,7221.1×42026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,7381.2×72026-07-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,7721.3×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,7721.3×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,7721.3×12026-05-01
Winchester HospitalBoston MA$2,7891.1×32026-04-01
Endeavor Health Northwest Community HospitalChicago IL$2,8541.3×32026-04-01
Beverly Hospital CorporationBoston MA$2,8791.1×42026-04-01
TriStar StoneCrest Medical CenterNashville TN$2,8951.4×52026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,9681.3×42026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,9911.4×22026-03-31
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0391.4×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0391.4×52026-04-01
Trinity Health Oakland HospitalDetroit MI$3,1041.5×162026-03-31
University Hospitals - Elyria Medical CenterCleveland OH$3,1741.6×42026-07-14
Anna Jaques HospitalBoston MA$3,3981.4×32026-04-01
Riddle Memorial HospitalPhiladelphia PA$3,4531.6×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$3,4841.8×22026-06-15
Medina HospitalCleveland OH$3,5021.8×32026-06-15
Mercy Hospital St LouisSt. Louis MO$3,5411.7×12026-06-04
Endeavor Health Edward HospitalChicago IL$3,6081.6×22026-04-01
Reston Hospital CenterWashington DC$3,6091.7×42026-09-01
Houston Methodist HospitalHouston TX$3,6141.7×62026-04-01
Stonesprings Hospital CenterWashington DC$3,6161.7×42026-09-01
Tampa General HospitalTampa FL$3,6301.7×32026-04-01
Bryn Mawr HospitalPhiladelphia PA$3,6401.7×22026-04-01
Henry Ford Health Rochester HospitalDetroit MI$3,6541.8×12026-01-01
Methodist HospitalSan Antonio TX$3,6951.8×52026-09-01
Menorah Medical CenterKansas (statewide)$3,7081.9×52026-09-01
Cleveland Clinic (main campus)Cleveland OH$3,9322.0×22026-06-16
Endeavor Health Evanston HospitalChicago IL$4,0381.8×32026-04-01
Beth Israel Deaconess Medical CenterBoston MA$4,1701.7×22026-04-01
Emory University HospitalAtlanta GA$4,1752.0×62026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$4,3022.0×32026-06-29
Endeavor Health Elmhurst HospitalChicago IL$4,3061.9×22026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,3642.0×42026-09-01
HCA HealthONE SwedishDenver CO$4,3712.0×42026-09-01
Inova Alexandria HospitalWashington DC$4,4132.0×52026-04-01
HCA HealthONE Sky RidgeDenver CO$4,5502.1×42026-09-01
Hca Healthone RoseDenver CO$4,5682.1×42026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7442.3×32026-01-01
Cleveland Clinic Hillcrest HospitalCleveland OH$4,7572.4×22026-06-15
Emory Houston Hospital Warner RobinsGeorgia (statewide)$4,7972.6×32026-04-01
Medical City MckinneyDallas-Fort Worth TX$5,1022.4×52026-09-01
Bethesda NorthOhio (statewide)$5,2062.6×42026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$5,2242.6×42026-09-01
Henrico Doctors' HospitalRichmond VA$5,2242.6×42026-09-01
Medical City PlanoDallas-Fort Worth TX$5,3812.6×52026-09-01
St David's Medical CenterAustin TX$5,3862.6×52026-09-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$5,5782.3×52026-04-01
Stony Brook University HospitalNew York (statewide)$5,7622.2×52026-06-10
Harper University HospitalDetroit MI$5,8122.8×12026-09-02
UCHealth University of Colorado HospitalDenver CO$5,9802.7×32025-11-01
Legacy Emanuel Medical CenterPortland OR$6,0732.6×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$6,0732.6×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$6,0732.6×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$6,0732.6×52026-04-01
Morton Plant HospitalTampa FL$6,2912.9×32026-01-01
St Clare HospitalSeattle-Tacoma WA$6,3682.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$6,4052.6×62026-02-28
Montefiore Medical CenterNew York City$6,5072.5×82026-04-01
Jefferson Stratford HospitalPhiladelphia PA$6,6482.8×32026-09-15
Barnes-Jewish West County HospitalSt. Louis MO$6,7303.2×42025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$6,7303.2×42025-12-15
University of Chicago Medical CenterChicago IL$6,7883.0×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$6,9933.3×32026-09-15
Swedish Medical CenterSeattle-Tacoma WA$7,2773.0×52026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$7,3683.5×22026-04-21
Missouri Baptist Medical CenterSt. Louis MO$7,5503.6×42025-12-15
Keck Hospital Of UscLos Angeles CA$7,5652.8×52026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$7,6093.1×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$7,6093.1×72026-08-27
Inspira Medical Center Mullica HillPhiladelphia PA$8,1553.5×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$8,2703.1×52026-09-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$8,4423.2×72026-01-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$9,0464.1×22026-06-15
Barnes Jewish HospitalSt. Louis MO$9,2614.4×42025-12-15
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$10,6323.6×62026-03-23
Providence St Vincent Medical CenterPortland OR$11,9605.2×32026-04-01
Providence Portland Medical CenterPortland OR$11,9605.2×32026-04-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$12,7784.3×52026-03-23
Cedars-Sinai Medical CenterLos Angeles CA$14,3425.3×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$19,5076.3×42026-04-01

Questions

How much do commercial insurers pay hospitals for circumcision (after newborn period)?

Across 93 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 54161, hospital outpatient is $4,371, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,104 to $6,405. 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: Ascension Saint Thomas Rutherford ($1,637), Ascension Seton Medical Center Austin ($1,701), North Carolina Specialty Hospital ($1,995). Highest: Stanford Health Care ($19,507), Cedars-Sinai Medical Center ($14,342), John Muir Medical Center - Walnut Creek Campus ($12,778). Coverage is limited to the markets listed on this page.