go back

Opening The Skull To Remove A Clot Inside The Brain

West 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 October 2026.

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

$3,352

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $3,352 for this procedure. That total is two separate charges: $2,692 to the doctor who performs it, and $661 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,692$1,862 to $4,677
Facility feeThe hospital or surgery center$661$562 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $35 to $1,413Professionalmedian $2,692 · 10th to 90th $1,660 to $6,026
$50$200$1K$5Kfacility $661professional $2,692

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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,862.09
Typical High
$1,862.09
CareSource
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$4,677.35

Where West Virginia 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

West Virginia· 43rd of 51

$3,352

$2,692 physician + $661 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.