CPT 61557 Surgery - Nervous
Incise skull/sutures Cost
Body System: Nervous
Medicare Facility Rate
$1,673
CMS PFS CY2026
Medicare Non-Facility Rate
$1,673
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
22.73
Work RVU
17.76
Facility PE RVU
9.60
Malpractice RVU
50.09
Total RVU
Frequently Asked Questions
How much does Incise skull/sutures cost?
The Medicare facility rate is $1,673. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Incise skull/sutures 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 $1,673.