Head / Brain
How Much Does Traumatic Brain Injury (TBI) Treatment Cost?
Brain injury caused by a bump, blow, or jolt to the head, or penetrating head injury. Ranges from mild concussion to severe TBI with permanent disability. Leading cause of death and disability in motor vehicle crashes.
Mild
$5.0K — $25K
Moderate
$25K — $100K
Severe
$100K — $500K
Estimated Total Procedure-Based Cost
$9,056 — $15,094
Based on common procedures at commercial insurance rates (1.5x-2.5x Medicare)
Treatment Cost Breakdown
Diagnosis & Acute Treatment
2 procedures$307 — $511
Mri brain stem w/o dye
CPT 70551 Once
$130 — $216
Medicare: $86
MRI brain with and without contrast
CPT 70553 Once
$177 — $295
Medicare: $118
Ongoing / Chronic Care
1 procedures$2,737 — $4,561
Psychotherapy, 53+ minutes
CPT 90837 x24 Weekly x 6 months
$2,737 — $4,561
Medicare: $76
Emergency Care
3 procedures$720 — $1,199
CT head/brain without contrast
CPT 70450 Once
$98 — $163
Medicare: $65
Emergency department visit - high complexity
CPT 99285 Once
$287 — $479
Medicare: $192
Critical care, first 30-74 minutes
CPT 99291 Once
$334 — $557
Medicare: $223
Rehabilitation
4 procedures$3,097 — $5,162
Neurobehavioral status examination, first hour
CPT 96116 Once
$186 — $311
Medicare: $124
Therapeutic exercises, each 15 minutes
CPT 97110 x24 2x/week x 12 weeks
$745 — $1,242
Medicare: $21
Therapeutic cognitive intervention, first 15 minutes
CPT 97129 x36 3x/week x 12 weeks
$1,118 — $1,863
Medicare: $21
Therapeutic cognitive intervention, additional 15 minutes
CPT 97130 x36 3x/week x 12 weeks
$1,048 — $1,747
Medicare: $19
Surgery
1 procedures$2,196 — $3,660
Craniectomy for hematoma evacuation
CPT 61304 Once
$2,196 — $3,660
Medicare: $1,464
ICD-10 Diagnosis Codes
S06.0X0AS06.0X1AS06.1X0AS06.2X0AS06.300AS06.4X0AS06.5X0AS06.6X0AS06.890AS06.9X0A
Frequently Asked Questions
How much does Traumatic Brain Injury (TBI) treatment cost?
Treatment for Traumatic Brain Injury (TBI) typically costs $25K — $100K depending on severity and location. Severe cases may have lifetime costs up to $3.0M.
Does insurance cover Traumatic Brain Injury (TBI) treatment?
Most health insurance plans cover medically necessary treatment for Traumatic Brain Injury (TBI). Your out-of-pocket cost depends on your deductible, copay, and whether you use in-network providers.