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Brain Cyst Removal Or Drainage, Upper Brain

West Virginia 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?

$3,291

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

Insurers have agreed to pay about $3,291 for this procedure. That total is two separate charges: $2,630 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$2,630$1,778 to $4,467
Facility feeThe hospital or surgery center$661$562 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $35 to $1,413Professionalmedian $2,630 · 10th to 90th $1,549 to $5,623
$50$200$1K$5Kfacility $661professional $2,630

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
$1,698.24
Median
$1,778.28
Typical High
$1,778.28
CareSource
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,090.30
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
$1,479.11
Median
$2,041.74
Typical High
$4,466.84

Where West Virginia 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

West Virginia· 44th of 51

$3,291

$2,630 physician + $661 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.