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Opening The Skull To Remove A Clot Inside The Brain

Illinois rates for HCPCS 61313

Opens the skull over the upper part of the brain to remove a blood clot that has formed within the brain tissue itself. Taking the clot out relieves pressure and limits damage to the brain around it. It is done urgently after a bleed into the brain, whether caused by high blood pressure, an injury, or an abnormal blood vessel.

Rates data updated July 2026.

How much does Opening The Skull To Remove A Clot Inside The Brain cost?

$3,236

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $2,138 to $5,370.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,148 to $9,772Professionalmedian $3,388 · 10th to 90th $2,042 to $10,000
$200$1K$5K$20Kfacility $3,236professional $3,388

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
$1,148.15
Median
$3,235.94
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$27,542.29
Typical High
$53,703.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$10,000.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,413.10

Where Illinois sits

The same service costs 20.9 times more in Maine than in Wyoming. 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.

Illinois· 35th of 50

$3,236

ME $26,915WY $1,288

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.