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Opening The Skull To Remove A Clot Inside The Brain

South Dakota 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 October 2026.

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

$5,468

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $5,468 for this procedure. That total is two separate charges: $4,266 to the doctor who performs it, and $1,202 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$4,266$3,020 to $4,786
Facility feeThe hospital or surgery center$1,202$759 to $2,630

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $3,311Professionalmedian $4,266 · 10th to 90th $1,862 to $5,248
$1K$2K$5K$10Kfacility $1,202professional $4,266

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,265.80
Typical High
$5,248.07
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,238.72
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$14,125.38
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,570.88
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,311.31
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$4,570.88
Typical High
$5,128.61
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$4,786.30

Where South Dakota sits

The same service costs 13.8 times more in Maine than in Washington. 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

South Dakota· 23rd of 51

$5,468

$4,266 physician + $1,202 facility

ME $35,114WA $2,549

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.