CPT 61596 Surgery - Nervous
Transcochlear approach/skull Cost
Body System: Nervous
Medicare Facility Rate
$2,090
CMS PFS CY2026
Medicare Non-Facility Rate
$2,090
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
38.44
Work RVU
18.52
Facility PE RVU
5.60
Malpractice RVU
62.56
Total RVU
Frequently Asked Questions
How much does Transcochlear approach/skull cost?
The Medicare facility rate is $2,090. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Transcochlear approach/skull 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 $2,090.