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Opening The Skull To Remove A Clot Inside The Brain

Virginia 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?

$5,623

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,630 to $18,621.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,042 to $26,303Professionalmedian $2,455 · 10th to 90th $1,820 to $4,571
$2K$5K$10K$20Kfacility $5,888professional $2,455

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
$2,238.72
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,442.29
Typical High
$31,622.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,187.76
Typical High
$5,888.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$4,570.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$4,073.80
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46

Where Virginia 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.

Virginia· 16th of 50

$5,623

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.