CPT 61686 Surgery - Nervous
Intracranial vessel surgery Cost
Body System: Nervous
Medicare Facility Rate
$4,249
CMS PFS CY2026
Medicare Non-Facility Rate
$4,249
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
65.81
Work RVU
33.61
Facility PE RVU
27.78
Malpractice RVU
127.20
Total RVU
Frequently Asked Questions
How much does Intracranial vessel surgery cost?
The Medicare facility rate is $4,249. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Intracranial vessel surgery 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 $4,249.