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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 July 2026.

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

$3,467

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,467 for this service. Most negotiated rates run $2,818 to $3,890.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,995 to $4,571Professionalmedian $3,467 · 10th to 90th $2,291 to $4,169
$2K$5Kfacility $3,020professional $3,467

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. 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
Global
Typical Low
$1,862.09
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,265.80
Typical High
$4,466.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$3,890.45
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota 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.

South Dakota· 33rd of 50

$3,467

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.