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Decompressive Skull Surgery For Brain Swelling

South Dakota rates for HCPCS 61322

Removes a large piece of skull bone, and where needed opens and enlarges the tough covering over the brain, to relieve dangerously high pressure inside the head. Giving swollen brain tissue room to expand stops it being crushed against the rigid skull. No part of the brain itself is removed in this version of the operation.

Rates data updated July 2026.

How much does Decompressive Skull Surgery For Brain Swelling cost?

$4,169

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $3,311 to $4,677.

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 $3,467 · 10th to 90th $2,239 to $5,370Professionalmedian $4,169 · 10th to 90th $2,692 to $5,012
$2K$5Kfacility $3,467professional $4,169

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
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,128.61
Typical High
$5,248.07
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,168.69
Typical High
$4,677.35
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
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· 30th of 50

$4,169

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.