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Focused Radiation For A Complex Brain Lesion

Pennsylvania rates for HCPCS 61798

A precise, focused radiation treatment delivered to a single, complex brain lesion using a specialized machine that targets the abnormal tissue from multiple angles, without a surgical incision. It is used when the size, shape, or location of the lesion makes treatment more involved than a simple, single-target case.

Rates data updated October 2026.

How much does Focused Radiation For A Complex Brain Lesion cost?

$3,600

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

Insurers have agreed to pay about $3,600 for this procedure. That total is two separate charges: $1,413 to the doctor who performs it, and $2,188 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,413$1,288 to $2,042
Facility feeThe hospital or surgery center$2,188$1,175 to $3,981

How much rates vary

Facilitymedian $2,188 · 10th to 90th $575 to $6,026Professionalmedian $1,413 · 10th to 90th $1,148 to $2,692
$500$1K$2K$5K$10K$20Kfacility $2,188professional $1,413

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
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$831.76
Median
$977.24
Typical High
$1,000.00
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,011.87
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$2,818.38
Capital Blue Cross
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$630.96
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,479.11
Typical High
$2,691.53
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,454.71
Geisinger
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,548.82
Typical High
$2,344.23
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$21,877.62
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$831.76
Median
$977.24
Typical High
$1,000.00
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,548.82
Typical High
$5,495.41
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,348.96
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,090.30
Typical High
$6,165.95
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,754.23

Where Pennsylvania sits

The same service costs 5.7 times more in Alaska than in Kentucky. 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

Pennsylvania· 48th of 51

$3,600

$1,413 physician + $2,188 facility

AK $13,752KY $2,420

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.