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Brain Cyst Removal Or Drainage, Upper Brain

Montana rates for HCPCS 61516

Opens the skull to reach a fluid-filled cyst in the upper part of the brain and either takes it out or cuts a lasting opening in its wall so the fluid drains into the surrounding spaces. Relieving the cyst takes pressure off the brain tissue around it. The opening may be a small drilled hole, a piece of bone taken out and left out, or a bone flap lifted and put back at the end.

Rates data updated October 2026.

How much does Brain Cyst Removal Or Drainage, Upper Brain cost?

$6,042

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $6,042 for this procedure. That total is two separate charges: $2,951 to the doctor who performs it, and $3,090 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,951$1,950 to $3,020
Facility feeThe hospital or surgery center$3,090$2,692 to $3,162

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,445 to $3,388Professionalmedian $2,951 · 10th to 90th $79 to $3,311
$100$200$500$1K$2K$5Kfacility $3,090professional $2,951

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,090.30
Typical High
$3,548.13
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$3,311.31
Providence
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,570.40
Typical High
$3,019.95
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$3,162.28
Typical High
$4,466.84

Where Montana sits

The same service costs 13.4 times more in Maine than in Maryland. 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

Montana· 20th of 51

$6,042

$2,951 physician + $3,090 facility

ME $34,930MD $2,604

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.