go back

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 July 2026.

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

$6,509

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

Insurers have agreed to pay about $6,509 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $5,129 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$1,259 to $1,820
Facility feeThe hospital or surgery center$5,129$1,413 to $5,754

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,413 to $21,878Professionalmedian $1,380 · 10th to 90th $1,047 to $2,818
$1K$2K$5K$10K$20K$50Kfacility $5,129professional $1,380

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
$1,412.54
Median
$5,754.40
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,818.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,513.56
Typical High
$2,630.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,454.71
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,659.59
Typical High
$2,290.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,754.40
Typical High
$25,118.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$2,951.21
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$1,348.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,677.35
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$2,754.23

Where Pennsylvania sits

The same service costs 7.0 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.

Physician feeFacility fee

Pennsylvania· 21st of 49

$6,509

$1,380 physician + $5,129 facility

CA $18,496WV $2,637

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.