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Small Drill Hole In The Skull For Puncture

Pennsylvania rates for HCPCS 61105

A narrow hole is drilled through the skull so a needle or fine tube can be passed through to reach fluid inside or just outside the brain. It is done to draw off fluid or to take a pressure reading.

Rates data updated July 2026.

How much does Small Drill Hole In The Skull For Puncture cost?

$5,849

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,849 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $5,370 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$427 to $575
Facility feeThe hospital or surgery center$5,370$1,585 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $537 to $8,511Professionalmedian $479 · 10th to 90th $398 to $813
$500$1K$2K$5K$10K$20Kfacility $5,370professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$741.31
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$891.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$851.14
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$575.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$912.01

Where Pennsylvania sits

The same service costs 10.2 times more in Nebraska than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Pennsylvania· 11th of 50

$5,849

$479 physician + $5,370 facility

NE $9,324WV $916

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.