CPT 61304 Surgery
Craniectomy for hematoma evacuation Cost
Body System: Nervous
Medicare Facility Rate
$1,464
CMS PFS CY2026
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
26.28
Work RVU
13.85
Facility PE RVU
5.12
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| US — Carrier 01112 Locality 05 | $1,724 | $2,585 — $4,309 |
| US — Carrier 01112 Locality 09 | $1,743 | $2,615 — $4,358 |
| US — Carrier 01112 Locality 51 | $1,677 | $2,515 — $4,192 |
| US — Carrier 01112 Locality 52 | $1,734 | $2,602 — $4,336 |
| US — Carrier 01112 Locality 53 | $1,661 | $2,492 — $4,153 |
| US — Carrier 01112 Locality 54 | $1,557 | $2,336 — $3,894 |
| US — Carrier 01112 Locality 55 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 56 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 57 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 58 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 59 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 60 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 61 | $1,533 | $2,299 — $3,831 |
| US — Carrier 01112 Locality 62 | $1,635 | $2,452 — $4,087 |
| US — Carrier 01112 Locality 63 | $1,583 | $2,374 — $3,957 |
| US — Carrier 01112 Locality 64 | $1,577 | $2,365 — $3,942 |
| US — Carrier 01112 Locality 65 | $1,787 | $2,681 — $4,469 |
| US — Carrier 01112 Locality 66 | $1,599 | $2,398 — $3,997 |
| US — Carrier 01112 Locality 67 | $1,613 | $2,419 — $4,031 |
| US — Carrier 01112 Locality 68 | $1,533 | $2,299 — $3,831 |
Frequently Asked Questions
How much does Craniectomy for hematoma evacuation cost?
The Medicare facility rate is $1,464. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Craniectomy for hematoma evacuation cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,464.