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Opening The Skull To Remove A Clot Inside The Brain

New York 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?

$7,244

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $3,388 to $11,749.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $2,344 to $15,849
$100.0$1.0K$10.0K$100.0Kfacility $7,244

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
$1,995.26
Median
$3,630.78
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$19,054.61
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,388.44
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,388.44
Typical High
$7,762.47
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$53,703.18
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$8,912.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$7,943.28

Where New York sits

The same service costs 20.9 times more in Maine than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $7,244 · 13th of 50
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.