Computer-assisted procedure inside brain
Medicare pricing data for 3,070 providers across 50 states
This procedure has a 5.9x markup — hospitals charge $1,350 but Medicare allows only $230.60. Uninsured patients may face bills 5.9 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Computer-assisted procedure inside brain (HCPCS code 61781) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $230.60, but hospitals typically charge $1,350 — a 5.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $230.60, your out-of-pocket cost would be approximately $46.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.9x more than what Medicare allows for this procedure. Medicare actually pays $184.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $284 | $3,097 | 183 | 1,107 | +23.1% |
| District of Columbia | $263 | $881 | 13 | 65 | +14.0% |
| Illinois | $257 | $1,724 | 119 | 731 | +11.5% |
| Michigan | $253 | $1,781 | 87 | 308 | +9.6% |
| Florida | $252 | $1,241 | 262 | 1,380 | +9.4% |
| Connecticut | $249 | $1,167 | 30 | 209 | +8.2% |
| Maryland | $249 | $1,032 | 64 | 495 | +7.8% |
| Massachusetts | $245 | $1,220 | 77 | 615 | +6.2% |
| New Jersey | $243 | $3,408 | 71 | 381 | +5.4% |
| New Mexico | $242 | $651 | 13 | 41 | +4.9% |
| Delaware | $237 | $1,230 | 9 | 69 | +2.9% |
| Pennsylvania | $237 | $1,161 | 145 | 781 | +2.9% |
| Montana | $237 | $770 | 19 | 59 | +2.6% |
| New Hampshire | $234 | $2,582 | 15 | 41 | +1.6% |
| West Virginia | $233 | $668 | 14 | 41 | +1.1% |
| Ohio | $232 | $966 | 114 | 661 | +0.7% |
| Virginia | $232 | $952 | 89 | 474 | +0.6% |
| Georgia | $231 | $1,067 | 72 | 340 | +0.2% |
| Louisiana | $231 | $1,139 | 48 | 231 | +0.1% |
| Texas | $230 | $1,114 | 246 | 1,326 | -0.3% |
| Rhode Island | $229 | $987 | 11 | 45 | -0.7% |
| Colorado | $221 | $861 | 50 | 239 | -4.2% |
| Mississippi | $220 | $816 | 21 | 91 | -4.5% |
| Kentucky | $219 | $820 | 45 | 243 | -5.0% |
| Maine | $218 | $731 | 6 | 31 | -5.3% |
| Nevada | $218 | $2,249 | 27 | 93 | -5.6% |
| Oklahoma | $218 | $724 | 34 | 242 | -5.6% |
| Utah | $216 | $1,368 | 24 | 98 | -6.4% |
| California | $216 | $975 | 294 | 1,681 | -6.4% |
| Missouri | $215 | $793 | 69 | 234 | -6.9% |
| Arizona | $214 | $1,037 | 81 | 512 | -7.1% |
| North Dakota | $214 | $694 | 5 | 34 | -7.3% |
| North Carolina | $213 | $863 | 96 | 447 | -7.6% |
| Vermont | $212 | $1,107 | 6 | 41 | -8.0% |
| Alabama | $211 | $762 | 44 | 214 | -8.6% |
| South Carolina | $210 | $887 | 49 | 284 | -8.8% |
| Washington | $210 | $636 | 72 | 320 | -8.8% |
| Oregon | $210 | $788 | 31 | 118 | -9.0% |
| Wisconsin | $208 | $2,935 | 58 | 370 | -10.0% |
| Minnesota | $207 | $2,223 | 62 | 357 | -10.1% |
| Arkansas | $202 | $833 | 26 | 165 | -12.5% |
| Tennessee | $199 | $993 | 75 | 356 | -13.6% |
| Iowa | $199 | $1,459 | 22 | 91 | -13.8% |
| Idaho | $198 | $3,894 | 13 | 42 | -14.3% |
| Alaska | $195 | $3,416 | 12 | 62 | -15.3% |
| Kansas | $192 | $674 | 25 | 134 | -16.6% |
| South Dakota | $189 | $866 | 12 | 33 | -18.2% |
| Hawaii | $170 | $494 | 11 | 45 | -26.1% |
| Indiana | $166 | $771 | 49 | 235 | -27.9% |
| Nebraska | $164 | $687 | 35 | 149 | -28.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber