61782

Computer-assisted procedure outside membrane covering brain

Medicare pricing data for 4,135 providers across 51 states

🤖AI Overview

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 outside membrane covering brain (HCPCS code 61782) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $171.13, but hospitals typically charge $778.45 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $171.13, your out-of-pocket cost would be approximately $34.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$171.13
Average Hospital Charge
$778.45
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$778.45
Medicare Allowed$171.13
Medicare Payment$136.62

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $136.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$225$3,0421028+31.8%
New York$196$2,625171696+14.3%
District of Columbia$193$6791374+13.0%
New Jersey$184$1,75291314+7.8%
Connecticut$182$92840104+6.1%
Illinois$181$1,024136536+5.8%
Massachusetts$181$778104451+5.7%
California$180$6883281,824+5.0%
Maryland$179$58562420+4.7%
Florida$179$5623391,687+4.3%
Pennsylvania$175$739176864+2.2%
Michigan$175$577119397+2.0%
Delaware$174$42812119+1.8%
Hawaii$174$443847+1.6%
Rhode Island$173$597811+1.3%
Nevada$173$48219141+1.3%
New Hampshire$173$2,3192165+1.2%
Washington$173$55299425+1.0%
Colorado$172$53389436+0.5%
New Mexico$171$5021031-0.0%
Maine$170$5201660-0.7%
Montana$170$50720108-0.9%
Wyoming$169$1,488931-1.1%
Virginia$169$57989396-1.2%
Ohio$169$661151583-1.5%
Louisiana$168$73487355-1.9%
Texas$167$6233832,008-2.2%
Georgia$167$877162607-2.3%
Arizona$166$58184559-2.9%
North Dakota$166$5421332-3.0%
Oregon$165$49158245-3.5%
West Virginia$165$5691535-3.7%
Missouri$165$53887333-3.8%
North Carolina$164$654168709-4.0%
Vermont$164$804613-4.0%
Utah$164$54957194-4.1%
Oklahoma$163$45047216-5.0%
South Carolina$162$81188521-5.1%
Minnesota$162$1,08681288-5.4%
Kentucky$161$43446140-5.8%
South Dakota$161$1,4992174-6.1%
Wisconsin$160$1,93888278-6.3%
Iowa$160$67349176-6.6%
Mississippi$160$75838232-6.6%
Alabama$160$46182534-6.7%
Tennessee$158$80493444-7.5%
Arkansas$158$4092287-7.6%
Kansas$158$59337346-7.6%
Indiana$157$74788437-8.2%
Idaho$157$46828115-8.4%
Nebraska$155$48635147-9.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber