Circumcision, child or adult cost without insurance
The median hospital cash price for circumcision by surgical excision, older than 28 days (children and adults) is $3,205.80 across 867 US hospitals; most list between $558.93 and $8,377.60. The lowest outpatient cash price in any of 442 markets is $205.20. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Circumcision costs
Lowest$205.20any market
Median market$2,895.50middle of market medians
Most below$8,377.609 in 10 hospitals
Listings857hospital prices
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for circumcision, child or adult, the highest negotiated rate in a hospital's file has a median of $5,147.50 and the lowest a median of $643.53. At 556 of 726 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 54161?
This is circumcision by surgical removal of the foreskin in a boy older than 28 days or an adult, rather than with a newborn clamp. It is done for medical reasons such as a tight foreskin or repeated infections, or by personal choice.
What the price covers
The facility price covers the operating room and recovery. The surgeon's fee and anesthesia are usually billed separately.
Why prices differ
Prices differ between hospital outpatient departments, surgery centers and urology offices, and with general anesthesia versus local numbing.
What to ask
Ask whether the self-pay price for CPT 54161 includes the surgeon and anesthesia fees.
Prices by state
Among 41 states with at least 5 hospitals listing a cash price, the median is lowest in Montana ($563.36), Maine ($796.44) and Oregon ($851.20), and highest in Hawaii ($7,212.80), Kentucky ($6,312.42) and Ohio ($6,124.95).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$3,442.00
- Alaska$1,914.27, 2 hospitals
- Arizona$2,565.20
- Arkansas$3,631.48
- California$4,646.89
- Colorado$4,242.92
- Connecticut$2,288.40, 1 hospital
- Delaware$7,151.05, 1 hospital
- District of Columbia$2,561.00, 1 hospital
- Florida$2,148.01
- Georgia$5,118.75
- Hawaii$7,212.80
- Idaho$5,304.00
- Illinois$2,495.50
- Indiana$5,304.33
- Iowa$2,841.90
- Kansas$2,799.25
- Kentucky$6,312.42
- Louisiana$1,569.88
- Maine$796.44
- Maryland$509.00, 1 hospital
- Massachusetts$4,523.95
- Michigan$3,950.27
- Minnesota$1,537.55
- Mississippi$1,351.95
- Missouri$2,770.52
- Montana$563.36
- Nebraska$2,518.96
- Nevada$2,377.20, 3 hospitals
- New Hampshire$1,511.22, 4 hospitals
- New Jersey$3,786.00
- New Mexico$5,159.34
- New York$3,649.00
- North Carolina$2,911.20
- North Dakota$2,846.40
- Ohio$6,124.95
- Oklahoma$3,454.10
- Oregon$851.20
- Pennsylvania$4,411.26
- Puerto Rico$1,687.50, 2 hospitals
- Rhode Island$3,557.16, 2 hospitals
- South Carolina$2,512.45
- South Dakota$1,764.00
- Tennessee$4,461.72
- Texas$3,678.03
- Utah$2,470.16
- Vermont$643.00, 3 hospitals
- Virginia$1,600.00
- Washington$3,365.49
- West Virginia$2,617.00
- Wisconsin$929.04
- Wyoming$2,086.50, 1 hospital
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $376.00 | $376.00 | $376.00 | 1.0× |
| Ada, OK | 1 | $5,270.75 | $5,270.75 | $5,270.75 | 1.0× |
| Akron, OH | 2 | $388.50 | $1,767.63 | $3,146.75 | 8.1× |
| Albany, OR | 1 | $283.20 | $283.20 | $283.20 | 1.0× |
| Albertville, AL | 2 | $3,442.00 | $3,442.00 | $3,442.00 | 1.0× |
| Albuquerque, NM | 2 | $966.45 | $7,491.67 | $14,016.88 | 14.5× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $4,602.20 | $4,602.20 | $4,602.20 | 1.0× |
| Alturas, CA single city | 1 | $874.09 | $874.09 | $874.09 | 1.0× |
| Anchorage, AK | 1 | $1,453.00 | $1,453.00 | $1,453.00 | 1.0× |
| Anderson Creek, NC | 1 | $2,911.20 | $2,911.20 | $2,911.20 | 1.0× |
| Andrews, TX | 1 | $2,137.50 | $2,137.50 | $2,137.50 | 1.0× |
| Ann Arbor, MI | 1 | $2,490.40 | $2,490.40 | $2,490.40 | 1.0× |
| Appleton, WI | 3 | $403.56 | $929.04 | $929.04 | 2.3× |
| Arcadia, FL | 1 | $4,514.34 | $4,514.34 | $4,514.34 | 1.0× |
| Ardmore, OK | 1 | $6,703.07 | $6,703.07 | $6,703.07 | 1.0× |
| Arkansas City-Winfield, KS | 1 | $8,253.72 | $8,253.72 | $8,253.72 | 1.0× |
| Asheville, NC | 1 | $15,954.00 | $15,954.00 | $15,954.00 | 1.0× |
| Astoria, OR | 1 | $851.20 | $851.20 | $851.20 | 1.0× |
| Atchison, KS | 1 | $3,758.00 | $3,758.00 | $3,758.00 | 1.0× |
| Athens, TN | 1 | $4,644.38 | $4,644.38 | $4,644.38 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 21 | $2,086.00 | $5,118.75 | $6,152.00 | 2.9× |
| Atlantic City-Hammonton, NJ | 1 | $2,704.61 | $2,704.61 | $2,704.61 | 1.0× |
| Auburn, NY | 1 | $1,238.12 | $1,238.12 | $1,238.12 | 1.0× |
| Auburn-Opelika, AL | 1 | $2,146.65 | $2,146.65 | $2,146.65 | 1.0× |
| Audubon, IA single city | 1 | $500.00 | $500.00 | $500.00 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $5,118.75 | $5,118.75 | $5,118.75 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 8 | $1,741.36 | $4,074.80 | $4,237.79 | 2.4× |
| Bakersfield-Delano, CA | 1 | $20,579.53 | $20,579.53 | $20,579.53 | 1.0× |
| Bangor, ME | 2 | $606.62 | $1,437.55 | $2,268.48 | 3.7× |
| Baraboo, WI | 1 | $529.77 | $529.77 | $529.77 | 1.0× |
| Baton Rouge, LA | 1 | $1,482.88 | $1,482.88 | $1,482.88 | 1.0× |
| Bay City, MI | 1 | $9,239.83 | $9,239.83 | $9,239.83 | 1.0× |
| Beaumont-Port Arthur, TX | 6 | $787.05 | $787.05 | $2,066.31 | 2.6× |
| Beckley, WV | 2 | $447.28 | $3,590.24 | $6,733.20 | 15.1× |
| Bellingham, WA | 1 | $8,151.00 | $8,151.00 | $8,151.00 | 1.0× |
| Berlin, WI single city | 1 | $929.04 | $929.04 | $929.04 | 1.0× |
| Birmingham, AL | 4 | $403.50 | $4,131.70 | $17,283.22 | 42.8× |
| Bismarck, ND | 2 | $1,972.00 | $2,409.20 | $2,846.40 | 1.4× |
| Blackfoot, ID | 1 | $322.00 | $322.00 | $322.00 | 1.0× |
| Blairsville, GA single city | 1 | $544.00 | $544.00 | $544.00 | 1.0× |
| Bluefield, WV-VA | 2 | $4,428.50 | $7,411.11 | $10,393.72 | 2.3× |
| Boise City, ID | 3 | $2,366.13 | $5,304.00 | $5,304.00 | 2.2× |
| Bonifay, FL single city | 1 | $205.20 | $205.20 | $205.20 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 18 | $1,613.70 | $4,894.95 | $10,656.50 | 6.6× |
| Boulder, CO | 1 | $5,406.23 | $5,406.23 | $5,406.23 | 1.0× |
| Bozeman, MT | 2 | $292.80 | $450.00 | $607.20 | 2.1× |
| Brattleboro, VT | 1 | $643.00 | $643.00 | $643.00 | 1.0× |
| Brenham, TX | 1 | $5,997.73 | $5,997.73 | $5,997.73 | 1.0× |
| Brookhaven, MS | 1 | $1,364.40 | $1,364.40 | $1,364.40 | 1.0× |
| Brownfield, TX single city | 1 | $4,082.00 | $4,082.00 | $4,082.00 | 1.0× |
| Brownsville-Harlingen, TX | 1 | $2,089.00 | $2,089.00 | $2,089.00 | 1.0× |
| Bucyrus, OH | 1 | $10,385.84 | $10,385.84 | $10,385.84 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $1,668.24 | $4,432.00 | $4,432.00 | 2.7× |
| Burlington-South Burlington, VT | 1 | $4,904.11 | $4,904.11 | $4,904.11 | 1.0× |
| Cades, SC single city | 1 | $2,217.50 | $2,217.50 | $2,217.50 | 1.0× |
| Cambridge, NE single city | 1 | $577.80 | $577.80 | $577.80 | 1.0× |
| Canton-Massillon, OH | 1 | $6,124.95 | $6,124.95 | $6,124.95 | 1.0× |
| Cape Coral-Fort Myers, FL | 4 | $3,124.67 | $3,812.17 | $7,302.83 | 2.3× |
| Cape Girardeau, MO-IL | 2 | $6,957.00 | $11,222.50 | $15,488.00 | 2.2× |
| Carlsbad-Artesia, NM | 1 | $370.80 | $370.80 | $370.80 | 1.0× |
| Carrollton, MO single city | 1 | $382.50 | $382.50 | $382.50 | 1.0× |
| Centreville, MS single city | 1 | $1,339.50 | $1,339.50 | $1,339.50 | 1.0× |
| Champaign-Urbana, IL | 1 | $1,120.00 | $1,120.00 | $1,120.00 | 1.0× |
| Charleston, WV | 2 | $2,402.50 | $2,509.75 | $2,617.00 | 1.1× |
| Charleston-Mattoon, IL | 1 | $3,860.64 | $3,860.64 | $3,860.64 | 1.0× |
| Charleston-North Charleston, SC | 2 | $3,066.50 | $7,899.22 | $12,731.94 | 4.2× |
| Charlotte-Concord-Gastonia, NC-SC | 1 | $4,776.00 | $4,776.00 | $4,776.00 | 1.0× |
| Charlottesville, VA | 1 | $1,495.50 | $1,495.50 | $1,495.50 | 1.0× |
| Cheraw, SC single city | 1 | $486.35 | $486.35 | $486.35 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 31 | $350.70 | $3,649.85 | $20,683.82 | 59.0× |
| Chico, CA | 1 | $2,267.00 | $2,267.00 | $2,267.00 | 1.0× |
| Cincinnati, OH-KY-IN | 4 | $9,735.00 | $13,075.26 | $20,493.05 | 2.1× |
| Clarksburg, WV | 1 | $2,403.00 | $2,403.00 | $2,403.00 | 1.0× |
| Clarksville, TN-KY | 1 | $4,741.37 | $4,741.37 | $4,741.37 | 1.0× |
| Clay Center, KS single city | 1 | $376.08 | $376.08 | $376.08 | 1.0× |
| Cleveland, OH | 11 | $2,397.00 | $6,124.95 | $6,124.95 | 2.6× |
| Clinton, IA | 1 | $19,281.76 | $19,281.76 | $19,281.76 | 1.0× |
| Clinton, MO single city | 1 | $1,526.11 | $1,526.11 | $1,526.11 | 1.0× |
| Clinton, NC single city | 1 | $1,884.40 | $1,884.40 | $1,884.40 | 1.0× |
| Coeur d'Alene, ID | 1 | $7,362.00 | $7,362.00 | $7,362.00 | 1.0× |
| College Station-Bryan, TX | 1 | $5,767.05 | $5,767.05 | $5,767.05 | 1.0× |
| Columbia, MO | 1 | $3,174.00 | $3,174.00 | $3,174.00 | 1.0× |
| Columbus, IN | 1 | $492.80 | $492.80 | $492.80 | 1.0× |
| Columbus, NE | 1 | $9,040.73 | $9,040.73 | $9,040.73 | 1.0× |
| Columbus, OH | 3 | $558.00 | $5,605.45 | $10,385.84 | 18.6× |
| Comanche, TX single city | 1 | $5,258.50 | $5,258.50 | $5,258.50 | 1.0× |
| Coos Bay-North Bend, OR | 1 | $518.25 | $518.25 | $518.25 | 1.0× |
| Corvallis, OR | 1 | $283.20 | $283.20 | $283.20 | 1.0× |
| Coshocton, OH | 1 | $1,967.00 | $1,967.00 | $1,967.00 | 1.0× |
| Council Grove, KS single city | 1 | $2,770.20 | $2,770.20 | $2,770.20 | 1.0× |
| Crestview-Fort Walton Beach-Destin, FL | 1 | $11,070.17 | $11,070.17 | $11,070.17 | 1.0× |
| Cuba, NY single city | 1 | $2,082.00 | $2,082.00 | $2,082.00 | 1.0× |
| Cut Bank, MT single city | 1 | $3,498.46 | $3,498.46 | $3,498.46 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 7 | $627.60 | $2,089.00 | $13,147.33 | 20.9× |
| Danville, VA | 1 | $10,033.60 | $10,033.60 | $10,033.60 | 1.0× |
| Daphne-Fairhope-Foley, AL | 1 | $8,032.22 | $8,032.22 | $8,032.22 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 2 | $2,380.00 | $5,563.35 | $8,746.69 | 3.7× |
| Defiance, OH | 1 | $3,576.00 | $3,576.00 | $3,576.00 | 1.0× |
| DeKalb, MS single city | 1 | $468.51 | $468.51 | $468.51 | 1.0× |
| Denver-Aurora-Centennial, CO | 6 | $443.30 | $5,406.23 | $5,406.23 | 12.2× |
| Des Moines-West Des Moines, IA | 3 | $581.00 | $2,686.40 | $3,636.00 | 6.3× |
| Detroit-Warren-Dearborn, MI | 5 | $2,874.36 | $2,970.78 | $8,250.23 | 2.9× |
| Devils Lake, ND single city | 1 | $3,167.73 | $3,167.73 | $3,167.73 | 1.0× |
| Dillon, SC single city | 1 | $486.35 | $486.35 | $486.35 | 1.0× |
| Dodge City, KS | 1 | $777.00 | $777.00 | $777.00 | 1.0× |
| Dothan, AL | 2 | $7,237.63 | $8,606.23 | $9,974.83 | 1.4× |
| Duluth, MN-WI | 3 | $1,541.10 | $1,541.10 | $1,541.10 | 1.0× |
| Dumas, TX | 1 | $5,781.60 | $5,781.60 | $5,781.60 | 1.0× |
| Duncan, OK | 1 | $4,176.50 | $4,176.50 | $4,176.50 | 1.0× |
| Durango, CO | 1 | $11,872.01 | $11,872.01 | $11,872.01 | 1.0× |
| Durant, OK | 1 | $9,063.31 | $9,063.31 | $9,063.31 | 1.0× |
| Eau Claire, WI | 1 | $6,496.25 | $6,496.25 | $6,496.25 | 1.0× |
| El Paso, TX | 3 | $409.70 | $822.53 | $863.65 | 2.1× |
| Elizabeth City, NC | 1 | $1,210.00 | $1,210.00 | $1,210.00 | 1.0× |
| Elizabethtown, NC single city | 1 | $2,911.20 | $2,911.20 | $2,911.20 | 1.0× |
| Elkhart-Goshen, IN | 2 | $3,471.30 | $5,301.28 | $7,131.26 | 2.1× |
| Ellensburg, WA | 1 | $395.25 | $395.25 | $395.25 | 1.0× |
| Ellsworth, ME single city | 1 | $986.25 | $986.25 | $986.25 | 1.0× |
| Emporia, VA single city | 1 | $773.10 | $773.10 | $773.10 | 1.0× |
| Eugene-Springfield, OR | 1 | $5,634.85 | $5,634.85 | $5,634.85 | 1.0× |
| Evergreen, AL single city | 1 | $2,674.75 | $2,674.75 | $2,674.75 | 1.0× |
| Fairfax, MO single city | 1 | $3,644.20 | $3,644.20 | $3,644.20 | 1.0× |
| Fairfield, IA single city | 1 | $286.20 | $286.20 | $286.20 | 1.0× |
| Fairfield, IL single city | 1 | $6,134.40 | $6,134.40 | $6,134.40 | 1.0× |
| Fairmont, WV | 1 | $7,753.55 | $7,753.55 | $7,753.55 | 1.0× |
| Fayetteville, NC | 3 | $2,233.80 | $2,347.20 | $2,911.20 | 1.3× |
| Fayetteville-Springdale-Rogers, AR | 5 | $256.00 | $4,795.37 | $6,190.97 | 24.2× |
| Fergus Falls, MN | 1 | $447.85 | $447.85 | $447.85 | 1.0× |
| Flint, MI | 1 | $6,054.78 | $6,054.78 | $6,054.78 | 1.0× |
| Florence, SC | 2 | $486.35 | $1,202.43 | $1,918.50 | 3.9× |
| Florence-Muscle Shoals, AL | 1 | $982.00 | $982.00 | $982.00 | 1.0× |
| Fond du Lac, WI | 1 | $929.04 | $929.04 | $929.04 | 1.0× |
| Fort Smith, AR-OK | 3 | $3,631.48 | $3,817.88 | $3,817.88 | 1.1× |
| Fort Wayne, IN | 3 | $7,035.25 | $9,690.09 | $11,203.86 | 1.6× |
| Fraser, CO single city | 1 | $3,079.61 | $3,079.61 | $3,079.61 | 1.0× |
| Fredericktown, MO single city | 1 | $598.50 | $598.50 | $598.50 | 1.0× |
| Freeport, IL | 1 | $1,636.80 | $1,636.80 | $1,636.80 | 1.0× |
| Fremont, NE | 1 | $2,518.96 | $2,518.96 | $2,518.96 | 1.0× |
| Fresno, CA | 1 | $8,377.60 | $8,377.60 | $8,377.60 | 1.0× |
| Gadsden, AL | 1 | $8,171.99 | $8,171.99 | $8,171.99 | 1.0× |
| Galax, VA single city | 1 | $7,124.16 | $7,124.16 | $7,124.16 | 1.0× |
| Gardnerville Ranchos, NV-CA | 1 | $4,690.00 | $4,690.00 | $4,690.00 | 1.0× |
| Gaylord, MI single city | 1 | $5,573.45 | $5,573.45 | $5,573.45 | 1.0× |
| Glen Rose, TX single city | 1 | $6,698.00 | $6,698.00 | $6,698.00 | 1.0× |
| Granbury, TX | 1 | $14,454.37 | $14,454.37 | $14,454.37 | 1.0× |
| Granby, CO single city | 1 | $3,079.61 | $3,079.61 | $3,079.61 | 1.0× |
| Grand Forks, ND-MN | 2 | $1,770.00 | $2,468.87 | $3,167.73 | 1.8× |
| Grand Junction, CO | 1 | $6,102.88 | $6,102.88 | $6,102.88 | 1.0× |
| Grand Rapids, MN | 1 | $2,821.26 | $2,821.26 | $2,821.26 | 1.0× |
| Grantsburg, WI single city | 1 | $1,564.00 | $1,564.00 | $1,564.00 | 1.0× |
| Grayling, MI single city | 1 | $5,578.55 | $5,578.55 | $5,578.55 | 1.0× |
| Great Bend, KS | 1 | $3,187.50 | $3,187.50 | $3,187.50 | 1.0× |
| Great Falls, MT | 1 | $19,730.50 | $19,730.50 | $19,730.50 | 1.0× |
| Green Bay, WI | 1 | $1,546.42 | $1,546.42 | $1,546.42 | 1.0× |
| Greenfield, IA single city | 1 | $3,956.25 | $3,956.25 | $3,956.25 | 1.0× |
| Greenville-Anderson-Greer, SC | 3 | $4,608.60 | $4,608.60 | $8,847.78 | 1.9× |
| Gulfport-Biloxi, MS | 3 | $904.60 | $1,269.00 | $1,269.00 | 1.4× |
| Gunnison, CO single city | 1 | $2,051.90 | $2,051.90 | $2,051.90 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $5,694.00 | $5,694.00 | $5,694.00 | 1.0× |
| Hailey, ID | 1 | $5,304.00 | $5,304.00 | $5,304.00 | 1.0× |
| Hammond, LA | 1 | $558.56 | $558.56 | $558.56 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $3,180.95 | $4,190.23 | $4,411.26 | 1.4× |
| Harrisonburg, VA | 1 | $1,495.50 | $1,495.50 | $1,495.50 | 1.0× |
| Hartford, CT single city | 1 | $2,288.40 | $2,288.40 | $2,288.40 | 1.0× |
| Harwarden, IA single city | 1 | $1,649.56 | $1,649.56 | $1,649.56 | 1.0× |
| Hattiesburg, MS | 1 | $10,927.44 | $10,927.44 | $10,927.44 | 1.0× |
| Hays, KS | 1 | $1,445.40 | $1,445.40 | $1,445.40 | 1.0× |
| Hermann, MO single city | 1 | $402.30 | $402.30 | $402.30 | 1.0× |
| Hermitage, PA | 1 | $5,231.07 | $5,231.07 | $5,231.07 | 1.0× |
| Hickory-Lenoir-Morganton, NC | 1 | $6,638.81 | $6,638.81 | $6,638.81 | 1.0× |
| Hilo-Kailua, HI | 1 | $7,658.00 | $7,658.00 | $7,658.00 | 1.0× |
| Hilton Head Island-Bluffton-Port Royal, SC | 1 | $2,807.40 | $2,807.40 | $2,807.40 | 1.0× |
| Honesdale, PA single city | 1 | $3,708.60 | $3,708.60 | $3,708.60 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 3 | $1,347.10 | $2,389.46 | $2,464.44 | 1.8× |
| Houston, MO single city | 1 | $1,185.00 | $1,185.00 | $1,185.00 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 4 | $1,965.67 | $2,015.99 | $7,937.96 | 4.0× |
| Hugo, OK single city | 1 | $2,603.50 | $2,603.50 | $2,603.50 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 2 | $1,744.75 | $1,972.54 | $2,200.33 | 1.3× |
| Huntsville, AL | 3 | $3,442.00 | $3,442.00 | $8,423.33 | 2.4× |
| Idabel, OK single city | 1 | $2,910.99 | $2,910.99 | $2,910.99 | 1.0× |
| Idaho Falls, ID | 2 | $4,145.75 | $4,145.75 | $4,145.75 | 1.0× |
| Imperial, NE single city | 1 | $655.00 | $655.00 | $655.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 2 | $218.30 | $4,720.08 | $9,221.85 | 42.2× |
| International Falls, MN single city | 1 | $879.65 | $879.65 | $879.65 | 1.0× |
| Iowa City, IA | 3 | $2,997.40 | $2,997.40 | $4,819.50 | 1.6× |
| Jackson, MS | 4 | $530.00 | $1,800.00 | $7,960.01 | 15.0× |
| Jacksonville, FL | 5 | $508.40 | $508.40 | $508.40 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $2,082.00 | $2,082.00 | $2,082.00 | 1.0× |
| Janesville-Beloit, WI | 2 | $1,601.74 | $3,044.16 | $4,486.58 | 2.8× |
| Jena, LA single city | 1 | $2,673.04 | $2,673.04 | $2,673.04 | 1.0× |
| Johnson, AR single city | 1 | $6,582.28 | $6,582.28 | $6,582.28 | 1.0× |
| Johnstown, PA | 1 | $6,148.72 | $6,148.72 | $6,148.72 | 1.0× |
| Joplin, MO-KS | 1 | $215.80 | $215.80 | $215.80 | 1.0× |
| Kankakee, IL | 1 | $2,662.00 | $2,662.00 | $2,662.00 | 1.0× |
| Kansas City, MO-KS | 3 | $1,112.16 | $1,112.16 | $1,969.00 | 1.8× |
| Kennewick-Richland, WA | 1 | $1,359.22 | $1,359.22 | $1,359.22 | 1.0× |
| Ketchikan, AK | 1 | $2,375.54 | $2,375.54 | $2,375.54 | 1.0× |
| Killeen-Temple, TX | 3 | $5,767.05 | $5,997.73 | $5,997.73 | 1.0× |
| Kilmarnock, VA single city | 1 | $1,335.60 | $1,335.60 | $1,335.60 | 1.0× |
| Kingston, NY | 1 | $4,427.00 | $4,427.00 | $4,427.00 | 1.0× |
| Kirksville, MO | 1 | $10,251.46 | $10,251.46 | $10,251.46 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 2 | $2,609.39 | $4,486.20 | $6,363.00 | 2.4× |
| Knoxville, TN | 2 | $4,279.06 | $5,392.14 | $6,505.22 | 1.5× |
| Kremmling, CO single city | 1 | $3,079.61 | $3,079.61 | $3,079.61 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $1,336.00 | $1,336.00 | $1,336.00 | 1.0× |
| Lafayette, LA | 3 | $1,536.57 | $1,603.19 | $1,902.42 | 1.2× |
| Lafayette-West Lafayette, IN | 1 | $552.72 | $552.72 | $552.72 | 1.0× |
| LaGrange, GA-AL | 1 | $5,118.75 | $5,118.75 | $5,118.75 | 1.0× |
| Lake Charles, LA | 1 | $1,213.46 | $1,213.46 | $1,213.46 | 1.0× |
| Lake Havasu City-Kingman, AZ | 2 | $6,996.64 | $15,769.66 | $24,542.67 | 3.5× |
| Lakeview, OR single city | 1 | $504.90 | $504.90 | $504.90 | 1.0× |
| Lamesa, TX single city | 1 | $3,500.00 | $3,500.00 | $3,500.00 | 1.0× |
| Lancaster, PA | 1 | $3,860.02 | $3,860.02 | $3,860.02 | 1.0× |
| Lansing-East Lansing, MI | 2 | $1,568.25 | $2,771.85 | $3,975.44 | 2.5× |
| Laredo, TX | 1 | $9,464.41 | $9,464.41 | $9,464.41 | 1.0× |
| Las Cruces, NM | 1 | $16,902.50 | $16,902.50 | $16,902.50 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $2,377.20 | $2,377.20 | $2,377.20 | 1.0× |
| Lebanon, KY single city | 1 | $7,004.99 | $7,004.99 | $7,004.99 | 1.0× |
| Lebanon-Claremont, NH-VT | 2 | $221.10 | $762.79 | $1,304.48 | 5.9× |
| Lewiston-Auburn, ME | 1 | $1,689.86 | $1,689.86 | $1,689.86 | 1.0× |
| Lexington-Fayette, KY | 3 | $1,452.71 | $7,727.26 | $10,915.83 | 7.5× |
| Liberal, KS | 1 | $2,782.00 | $2,782.00 | $2,782.00 | 1.0× |
| Lima, OH | 2 | $2,246.40 | $8,447.09 | $14,647.78 | 6.5× |
| Linton, IN single city | 1 | $859.77 | $859.77 | $859.77 | 1.0× |
| Litchfield, MN single city | 1 | $267.52 | $267.52 | $267.52 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 6 | $1,066.05 | $2,864.21 | $5,064.36 | 4.8× |
| Littlefield, TX single city | 1 | $1,493.00 | $1,493.00 | $1,493.00 | 1.0× |
| Logan, UT-ID | 1 | $5,354.00 | $5,354.00 | $5,354.00 | 1.0× |
| Longview, TX | 1 | $7,154.50 | $7,154.50 | $7,154.50 | 1.0× |
| Longview-Kelso, WA | 1 | $3,443.05 | $3,443.05 | $3,443.05 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 13 | $2,675.00 | $3,676.40 | $8,908.50 | 3.3× |
| Lousiana, MO single city | 1 | $3,600.00 | $3,600.00 | $3,600.00 | 1.0× |
| Lufkin, TX | 1 | $8,625.36 | $8,625.36 | $8,625.36 | 1.0× |
| Luverne, AL single city | 1 | $2,174.69 | $2,174.69 | $2,174.69 | 1.0× |
| Lyons, KS single city | 1 | $3,507.83 | $3,507.83 | $3,507.83 | 1.0× |
| Macomb, IL | 1 | $2,803.20 | $2,803.20 | $2,803.20 | 1.0× |
| Macon-Bibb County, GA | 1 | $3,163.50 | $3,163.50 | $3,163.50 | 1.0× |
| Madison, MN single city | 1 | $715.70 | $715.70 | $715.70 | 1.0× |
| Magnolia, AR | 1 | $2,477.46 | $2,477.46 | $2,477.46 | 1.0× |
| Manchester-Nashua, NH | 2 | $1,717.95 | $1,741.80 | $1,765.64 | 1.0× |
| Manhattan, KS | 1 | $2,816.50 | $2,816.50 | $2,816.50 | 1.0× |
| Manistee, MI single city | 1 | $5,578.55 | $5,578.55 | $5,578.55 | 1.0× |
| Manning, SC single city | 1 | $486.35 | $486.35 | $486.35 | 1.0× |
| Mansfield, OH | 1 | $10,385.84 | $10,385.84 | $10,385.84 | 1.0× |
| Marble Falls, TX single city | 1 | $5,767.05 | $5,767.05 | $5,767.05 | 1.0× |
| Margaretville, NY single city | 1 | $4,427.00 | $4,427.00 | $4,427.00 | 1.0× |
| Marietta, OH | 1 | $861.44 | $861.44 | $861.44 | 1.0× |
| Marquette, MI | 2 | $2,338.55 | $2,747.09 | $3,155.63 | 1.3× |
| Martinsville, VA | 1 | $7,686.60 | $7,686.60 | $7,686.60 | 1.0× |
| Mason City, IA | 1 | $31,044.70 | $31,044.70 | $31,044.70 | 1.0× |
| Mayagüez, PR | 1 | $2,500.00 | $2,500.00 | $2,500.00 | 1.0× |
| Mayfield, KY | 1 | $10,651.04 | $10,651.04 | $10,651.04 | 1.0× |
| Maysville, KY single city | 1 | $6,312.42 | $6,312.42 | $6,312.42 | 1.0× |
| McAlester, OK | 1 | $230.40 | $230.40 | $230.40 | 1.0× |
| McAllen-Edinburg-Mission, TX | 2 | $2,089.00 | $2,089.00 | $2,089.00 | 1.0× |
| McCall, ID single city | 1 | $5,304.00 | $5,304.00 | $5,304.00 | 1.0× |
| McComb, MS | 1 | $3,676.86 | $3,676.86 | $3,676.86 | 1.0× |
| Medicine Lodge, KS single city | 1 | $275.00 | $275.00 | $275.00 | 1.0× |
| Memphis, MO single city | 1 | $465.50 | $465.50 | $465.50 | 1.0× |
| Memphis, TN-MS-AR | 6 | $3,801.09 | $3,801.09 | $6,338.52 | 1.7× |
| Meridian, MS | 2 | $237.65 | $346.29 | $454.93 | 1.9× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 11 | $977.90 | $2,148.01 | $7,656.35 | 7.8× |
| Michigan City-La Porte, IN | 2 | $3,428.24 | $7,673.89 | $11,919.54 | 3.5× |
| Minden, LA | 1 | $1,638.79 | $1,638.79 | $1,638.79 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 5 | $1,470.07 | $2,708.00 | $4,433.66 | 3.0× |
| Minot, ND | 2 | $2,104.00 | $2,104.00 | $2,104.00 | 1.0× |
| Moab, UT single city | 1 | $863.76 | $863.76 | $863.76 | 1.0× |
| Moberly, MO | 1 | $14,165.20 | $14,165.20 | $14,165.20 | 1.0× |
| Mobridge, SD single city | 1 | $1,071.00 | $1,071.00 | $1,071.00 | 1.0× |
| Modesto, CA | 1 | $8,377.60 | $8,377.60 | $8,377.60 | 1.0× |
| Monroe, LA | 3 | $483.00 | $1,498.66 | $1,901.64 | 3.9× |
| Monroeville, AL single city | 1 | $943.20 | $943.20 | $943.20 | 1.0× |
| Morgan City, LA | 1 | $306.60 | $306.60 | $306.60 | 1.0× |
| Morgantown, WV | 1 | $1,335.00 | $1,335.00 | $1,335.00 | 1.0× |
| Morris, MN single city | 1 | $336.75 | $336.75 | $336.75 | 1.0× |
| Moscow, ID | 1 | $402.00 | $402.00 | $402.00 | 1.0× |
| Moses Lake, WA | 1 | $488.00 | $488.00 | $488.00 | 1.0× |
| Moultrie, GA | 1 | $1,187.00 | $1,187.00 | $1,187.00 | 1.0× |
| Mount Airy, NC | 1 | $2,584.00 | $2,584.00 | $2,584.00 | 1.0× |
| Mount Vernon, OH | 1 | $398.52 | $398.52 | $398.52 | 1.0× |
| Mountain Home, AR | 1 | $1,879.00 | $1,879.00 | $1,879.00 | 1.0× |
| Mullins, SC single city | 1 | $3,475.00 | $3,475.00 | $3,475.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 3 | $486.35 | $486.35 | $486.35 | 1.0× |
| Naples-Marco Island, FL | 2 | $6,856.11 | $6,856.11 | $6,856.11 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $2,613.61 | $4,251.60 | $5,482.63 | 2.1× |
| Natchez, MS-LA | 1 | $5,598.43 | $5,598.43 | $5,598.43 | 1.0× |
| Nevada, MO single city | 1 | $373.95 | $373.95 | $373.95 | 1.0× |
| New London, WI single city | 1 | $929.04 | $929.04 | $929.04 | 1.0× |
| New Martinsville, WV single city | 1 | $2,784.50 | $2,784.50 | $2,784.50 | 1.0× |
| New Orleans-Metairie, LA | 10 | $539.56 | $1,568.72 | $22,351.37 | 41.4× |
| New Philadelphia-Dover, OH | 1 | $6,124.95 | $6,124.95 | $6,124.95 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 61 | $569.00 | $2,733.87 | $23,755.00 | 41.7× |
| North Wilkesboro, NC | 1 | $2,484.50 | $2,484.50 | $2,484.50 | 1.0× |
| Norton, KS single city | 1 | $450.10 | $450.10 | $450.10 | 1.0× |
| Norwalk, OH | 1 | $3,633.00 | $3,633.00 | $3,633.00 | 1.0× |
| Ocean Pines, MD | 1 | $509.00 | $509.00 | $509.00 | 1.0× |
| Okeene, OK single city | 1 | $272.00 | $272.00 | $272.00 | 1.0× |
| Oklahoma City, OK | 3 | $242.58 | $3,997.20 | $5,888.19 | 24.3× |
| Olney, IL single city | 1 | $2,678.00 | $2,678.00 | $2,678.00 | 1.0× |
| Omaha, NE-IA | 4 | $1,125.90 | $2,398.32 | $3,205.80 | 2.8× |
| Orangeburg, SC | 1 | $3,066.50 | $3,066.50 | $3,066.50 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 1 | $12,815.00 | $12,815.00 | $12,815.00 | 1.0× |
| Osage Beach, MO single city | 1 | $2,097.05 | $2,097.05 | $2,097.05 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $929.04 | $929.04 | $929.04 | 1.0× |
| Owosso, MI | 1 | $297.60 | $297.60 | $297.60 | 1.0× |
| Paducah, KY-IL | 1 | $3,934.20 | $3,934.20 | $3,934.20 | 1.0× |
| Pampa, TX | 1 | $1,435.00 | $1,435.00 | $1,435.00 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $2,403.00 | $2,403.00 | $2,403.00 | 1.0× |
| Pearsall, TX single city | 1 | $4,302.00 | $4,302.00 | $4,302.00 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $8,210.84 | $8,210.84 | $8,210.84 | 1.0× |
| Peoria, IL | 1 | $1,026.00 | $1,026.00 | $1,026.00 | 1.0× |
| Perry, FL single city | 1 | $1,522.40 | $1,522.40 | $1,522.40 | 1.0× |
| Perryton, TX single city | 1 | $3,396.00 | $3,396.00 | $3,396.00 | 1.0× |
| Peru, IN | 1 | $14,759.40 | $14,759.40 | $14,759.40 | 1.0× |
| Petoskey, MI | 1 | $3,950.27 | $3,950.27 | $3,950.27 | 1.0× |
| Philadelphia, MS single city | 1 | $315.00 | $315.00 | $315.00 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2 | $2,056.00 | $5,917.93 | $9,779.85 | 4.8× |
| Phoenix-Mesa-Chandler, AZ | 1 | $2,565.20 | $2,565.20 | $2,565.20 | 1.0× |
| Pine Bluff, AR | 1 | $485.49 | $485.49 | $485.49 | 1.0× |
| Pittsburg, KS | 1 | $9,518.35 | $9,518.35 | $9,518.35 | 1.0× |
| Pittsburgh, PA | 1 | $2,402.50 | $2,402.50 | $2,402.50 | 1.0× |
| Plainview, TX | 1 | $283.50 | $283.50 | $283.50 | 1.0× |
| Platteville, WI | 2 | $719.97 | $2,959.86 | $5,199.75 | 7.2× |
| Pocatello, ID | 1 | $7,110.00 | $7,110.00 | $7,110.00 | 1.0× |
| Polson, MT single city | 1 | $287.20 | $287.20 | $287.20 | 1.0× |
| Poplar Bluff, MO | 1 | $14,488.43 | $14,488.43 | $14,488.43 | 1.0× |
| Port St. Lucie, FL | 1 | $7,656.35 | $7,656.35 | $7,656.35 | 1.0× |
| Port Townsend, WA | 1 | $2,059.20 | $2,059.20 | $2,059.20 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 4 | $4,533.10 | $7,362.37 | $11,415.30 | 2.5× |
| Portsmouth, OH | 1 | $5,043.12 | $5,043.12 | $5,043.12 | 1.0× |
| Presque Isle, ME single city | 1 | $375.48 | $375.48 | $375.48 | 1.0× |
| Price, UT | 1 | $7,436.00 | $7,436.00 | $7,436.00 | 1.0× |
| Providence-Warwick, RI-MA | 4 | $2,338.00 | $3,603.00 | $4,776.32 | 2.0× |
| Pulaski, TN single city | 1 | $7,090.01 | $7,090.01 | $7,090.01 | 1.0× |
| Rangely, CO single city | 1 | $908.83 | $908.83 | $908.83 | 1.0× |
| Rapid City, SD | 5 | $1,764.00 | $1,764.00 | $3,944.58 | 2.2× |
| Rawlins, WY single city | 1 | $2,086.50 | $2,086.50 | $2,086.50 | 1.0× |
| Reading, PA | 1 | $3,463.23 | $3,463.23 | $3,463.23 | 1.0× |
| Redding, CA | 1 | $2,675.00 | $2,675.00 | $2,675.00 | 1.0× |
| Refugio, TX single city | 1 | $1,856.80 | $1,856.80 | $1,856.80 | 1.0× |
| Reno, NV | 1 | $2,273.00 | $2,273.00 | $2,273.00 | 1.0× |
| Rexburg, ID | 1 | $2,864.25 | $2,864.25 | $2,864.25 | 1.0× |
| Richmond, VA | 5 | $773.10 | $1,546.20 | $1,546.20 | 2.0× |
| Richmond-Berea, KY | 1 | $3,939.60 | $3,939.60 | $3,939.60 | 1.0× |
| Ripley, MS single city | 1 | $4,007.00 | $4,007.00 | $4,007.00 | 1.0× |
| Ripley, WV single city | 1 | $6,244.50 | $6,244.50 | $6,244.50 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 8 | $2,675.00 | $3,676.40 | $5,898.24 | 2.2× |
| Roanoke, VA | 1 | $1,288.80 | $1,288.80 | $1,288.80 | 1.0× |
| Rochester, NY | 1 | $8,132.80 | $8,132.80 | $8,132.80 | 1.0× |
| Rockford, IL | 1 | $1,681.83 | $1,681.83 | $1,681.83 | 1.0× |
| Rolla, MO | 1 | $5,500.06 | $5,500.06 | $5,500.06 | 1.0× |
| Roosevelt, UT single city | 1 | $2,250.00 | $2,250.00 | $2,250.00 | 1.0× |
| Roswell, NM | 1 | $5,159.34 | $5,159.34 | $5,159.34 | 1.0× |
| Russellville, AR | 1 | $559.18 | $559.18 | $559.18 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 4 | $6,493.55 | $8,377.60 | $8,377.60 | 1.3× |
| Salmon, ID single city | 1 | $314.25 | $314.25 | $314.25 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $2,470.16 | $2,470.16 | $2,470.16 | 1.0× |
| San Antonio-New Braunfels, TX | 2 | $995.50 | $2,067.33 | $3,139.15 | 3.2× |
| San Diego-Chula Vista-Carlsbad, CA | 9 | $2,197.25 | $4,646.89 | $4,646.89 | 2.1× |
| San Francisco-Oakland-Fremont, CA | 11 | $8,377.60 | $8,377.60 | $15,558.00 | 1.9× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $5,515.60 | $8,377.60 | $8,377.60 | 1.5× |
| San Juan-Bayamón-Caguas, PR | 1 | $875.00 | $875.00 | $875.00 | 1.0× |
| Santa Rosa-Petaluma, CA | 4 | $306.00 | $3,440.39 | $8,377.60 | 27.4× |
| Satanta, KS single city | 1 | $2,880.00 | $2,880.00 | $2,880.00 | 1.0× |
| Scottsbluff, NE single city | 1 | $3,072.77 | $3,072.77 | $3,072.77 | 1.0× |
| Scottsboro, AL | 1 | $2,548.00 | $2,548.00 | $2,548.00 | 1.0× |
| Scranton--Wilkes-Barre, PA | 3 | $7,041.12 | $7,223.31 | $7,223.31 | 1.0× |
| Seaford, DE | 1 | $7,151.05 | $7,151.05 | $7,151.05 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 6 | $721.00 | $4,746.32 | $5,869.44 | 8.1× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $7,656.35 | $7,656.35 | $7,656.35 | 1.0× |
| Sedalia, MO | 1 | $2,748.75 | $2,748.75 | $2,748.75 | 1.0× |
| Seminole, TX single city | 1 | $3,856.05 | $3,856.05 | $3,856.05 | 1.0× |
| Shawano, WI | 1 | $929.04 | $929.04 | $929.04 | 1.0× |
| Sherman-Denison, TX | 1 | $2,354.40 | $2,354.40 | $2,354.40 | 1.0× |
| Shreveport-Bossier City, LA | 2 | $1,694.16 | $1,759.32 | $1,824.48 | 1.1× |
| Sidney, MT single city | 1 | $519.51 | $519.51 | $519.51 | 1.0× |
| Sierra Vista-Douglas, AZ | 1 | $831.20 | $831.20 | $831.20 | 1.0× |
| Sikeston, MO | 1 | $2,770.52 | $2,770.52 | $2,770.52 | 1.0× |
| Sioux Falls, SD-MN | 1 | $999.00 | $999.00 | $999.00 | 1.0× |
| Skowhegan, ME single city | 1 | $297.75 | $297.75 | $297.75 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $539.56 | $539.56 | $539.56 | 1.0× |
| South Boston, VA single city | 1 | $2,090.50 | $2,090.50 | $2,090.50 | 1.0× |
| Spearfish, SD | 2 | $1,764.00 | $1,764.00 | $1,764.00 | 1.0× |
| Spencer, WV single city | 1 | $343.35 | $343.35 | $343.35 | 1.0× |
| Spokane-Spokane Valley, WA | 1 | $9,931.03 | $9,931.03 | $9,931.03 | 1.0× |
| Springerville, AZ single city | 1 | $325.12 | $325.12 | $325.12 | 1.0× |
| Springfield, MA | 1 | $2,262.00 | $2,262.00 | $2,262.00 | 1.0× |
| Springfield, MO | 3 | $407.20 | $9,479.50 | $9,479.50 | 23.3× |
| St. Johnsbury, VT single city | 1 | $338.25 | $338.25 | $338.25 | 1.0× |
| St. Louis, MO-IL | 4 | $2,154.10 | $6,992.04 | $8,747.61 | 4.1× |
| Staples, MN single city | 1 | $298.22 | $298.22 | $298.22 | 1.0× |
| Statesboro, GA | 1 | $7,865.45 | $7,865.45 | $7,865.45 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $213.50 | $213.50 | $213.50 | 1.0× |
| Sterling, IL | 1 | $5,722.75 | $5,722.75 | $5,722.75 | 1.0× |
| Stockton-Lodi, CA | 1 | $8,377.60 | $8,377.60 | $8,377.60 | 1.0× |
| Suffolk, VA single city | 1 | $1,600.00 | $1,600.00 | $1,600.00 | 1.0× |
| Sylva, NC single city | 1 | $10,345.63 | $10,345.63 | $10,345.63 | 1.0× |
| Tallahassee, FL | 1 | $1,494.96 | $1,494.96 | $1,494.96 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 2 | $2,613.80 | $10,709.96 | $18,806.12 | 7.2× |
| Temple, TX single city | 1 | $5,997.73 | $5,997.73 | $5,997.73 | 1.0× |
| Texarkana, TX-AR | 1 | $14,759.40 | $14,759.40 | $14,759.40 | 1.0× |
| Tiffin, OH | 1 | $4,168.20 | $4,168.20 | $4,168.20 | 1.0× |
| Toledo, OH | 4 | $3,984.00 | $9,886.38 | $24,746.16 | 6.2× |
| Topeka, KS | 1 | $3,067.50 | $3,067.50 | $3,067.50 | 1.0× |
| Trenton-Princeton, NJ | 1 | $5,110.00 | $5,110.00 | $5,110.00 | 1.0× |
| Tucson, AZ | 1 | $9,541.07 | $9,541.07 | $9,541.07 | 1.0× |
| Tulsa, OK | 1 | $2,244.00 | $2,244.00 | $2,244.00 | 1.0× |
| Twin Falls, ID | 1 | $5,304.00 | $5,304.00 | $5,304.00 | 1.0× |
| Tyler, TX | 2 | $695.90 | $805.45 | $915.00 | 1.3× |
| Upper Sandusky, OH single city | 1 | $641.69 | $641.69 | $641.69 | 1.0× |
| Urban Honolulu, HI | 5 | $1,353.00 | $7,212.80 | $10,483.78 | 7.7× |
| Utah Hiawatha, KS single city | 1 | $3,758.00 | $3,758.00 | $3,758.00 | 1.0× |
| Utica-Rome, NY | 1 | $3,271.80 | $3,271.80 | $3,271.80 | 1.0× |
| Vallejo, CA | 3 | $5,642.00 | $8,377.60 | $8,377.60 | 1.5× |
| Vernal, UT | 1 | $3,155.63 | $3,155.63 | $3,155.63 | 1.0× |
| Vicksburg, MS | 1 | $6,262.90 | $6,262.90 | $6,262.90 | 1.0× |
| Victoria, TX | 2 | $7,566.45 | $7,566.45 | $7,566.45 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 10 | $1,600.00 | $1,600.00 | $4,030.63 | 2.5× |
| Visalia, CA | 1 | $5,121.00 | $5,121.00 | $5,121.00 | 1.0× |
| Waco, TX | 1 | $5,767.05 | $5,767.05 | $5,767.05 | 1.0× |
| Warsaw, IN | 1 | $7,492.55 | $7,492.55 | $7,492.55 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 5 | $1,600.00 | $5,200.00 | $7,439.75 | 4.6× |
| Watertown-Fort Atkinson, WI | 1 | $1,802.56 | $1,802.56 | $1,802.56 | 1.0× |
| Watertown-Fort Drum, NY | 1 | $4,198.50 | $4,198.50 | $4,198.50 | 1.0× |
| Watford City, ND single city | 1 | $3,299.40 | $3,299.40 | $3,299.40 | 1.0× |
| Waupaca, WI single city | 1 | $929.04 | $929.04 | $929.04 | 1.0× |
| Wayne, NE single city | 1 | $1,235.90 | $1,235.90 | $1,235.90 | 1.0× |
| Webster City, IA single city | 1 | $1,194.40 | $1,194.40 | $1,194.40 | 1.0× |
| Wenatchee-East Wenatchee, WA | 2 | $801.00 | $1,494.90 | $2,188.80 | 2.7× |
| Wheeling, WV-OH | 1 | $3,505.50 | $3,505.50 | $3,505.50 | 1.0× |
| Wichita Falls, TX | 2 | $2,283.34 | $3,422.67 | $4,562.00 | 2.0× |
| Wild Rose, WI single city | 1 | $929.04 | $929.04 | $929.04 | 1.0× |
| Wilson, NC | 1 | $16,610.00 | $16,610.00 | $16,610.00 | 1.0× |
| Winamac, IN single city | 1 | $883.82 | $883.82 | $883.82 | 1.0× |
| Winchester, TN | 1 | $6,799.59 | $6,799.59 | $6,799.59 | 1.0× |
| Worcester, MA | 3 | $4,843.00 | $11,631.37 | $16,158.59 | 3.3× |
| Wytheville, VA single city | 1 | $8,384.93 | $8,384.93 | $8,384.93 | 1.0× |
| Yakima, WA | 1 | $740.35 | $740.35 | $740.35 | 1.0× |
| York-Hanover, PA | 1 | $19,833.60 | $19,833.60 | $19,833.60 | 1.0× |
| Youngstown-Warren, OH | 3 | $4,138.37 | $7,687.50 | $12,876.30 | 3.1× |
| Yuma, AZ | 1 | $1,376.70 | $1,376.70 | $1,376.70 | 1.0× |
| Zanesville, OH | 1 | $7,860.49 | $7,860.49 | $7,860.49 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 54161?
CPT 54161 is the billing code for circumcision by surgical excision, older than 28 days (children and adults). This is circumcision by surgical removal of the foreskin in a boy older than 28 days or an adult, rather than with a newborn clamp. It is done for medical reasons such as a tight foreskin or repeated infections, or by personal choice.
How is this different from newborn circumcision?
Newborn circumcision is usually done with a clamp under a local block (54150); after 28 days surgical excision is typically used, often under general anesthesia.
How long is recovery?
Many adults return to work within a few days, but full healing takes several weeks. The surgeon will give specific instructions.
Is it cheaper to pay cash or use insurance for circumcision, child or adult?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for circumcision, child or adult has a median of $5,147.50 and the lowest a median of $643.53; at 556 of 726 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest circumcision, child or adult?
Among 41 states with at least 5 hospitals listing a cash price, the median is lowest in Montana ($563.36), Maine ($796.44) and Oregon ($851.20), and highest in Hawaii ($7,212.80), Kentucky ($6,312.42) and Ohio ($6,124.95). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other circumcision prices
Median hospital cash price, one per hospital.