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Partial Removal Of One Side Of The Brain

New Jersey rates for HCPCS 61543

An operation that opens the skull and removes or disconnects part of one half of the brain. It is used for severe seizures that start in one hemisphere and have not responded to medication, with the goal of stopping the seizures from spreading. It is major neurosurgery performed under general anesthesia with a hospital stay and a long recovery.

Rates data updated July 2026.

How much does Partial Removal Of One Side Of The Brain cost?

$2,570

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $6,918 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,239$2,042 to $3,162
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,630 to $11,749Professionalmedian $2,239 · 10th to 90th $1,905 to $6,166
$1K$2K$5K$10Kfacility $6,918professional $2,239

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$7,762.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$4,073.80
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$4,897.79

Where New Jersey sits

The same service costs 4.9 times more in California than in West Virginia. 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.

New Jersey· 34th of 51

$2,570

CA $10,000WV $2,042

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.