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Partial Removal Of One Side Of The Brain

New Mexico 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?

$3,020

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $3,388 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$3,020$1,778 to $3,715
FacilityA hospital or hospital-owned outpatient department$3,388$2,570 to $5,012

How much rates vary

Facilitymedian $3,388 · 10th to 90th $2,089 to $7,762Professionalmedian $3,020 · 10th to 90th $1,778 to $11,220
$50$200$1K$5K$20Kfacility $3,388professional $3,020

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
$2,041.74
Median
$3,388.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,019.95
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,235.94
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$5,011.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$5,128.61

Where New Mexico 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 Mexico· 26th of 51

$3,020

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.