What do doctors typically charge for Computer-assisted Radiosurgery of Simple Growth of Brain?

The nationwide median physician charge for Computer-assisted Radiosurgery of Simple Growth of Brain (CPT 61796) is $4922.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 61796?

The standard insurance baseline reimbursement rate is $1023.54. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Computer-assisted Radiosurgery of Simple Growth of Brain

CPT 61796Medical Service

Computer-assisted Radiosurgery of Simple Growth of Brain

Computer-assisted radiosurgery of simple growth of brain, first growth. Clinical pricing breakdown and utilization metrics across 138 practicing doctors nationwide.

$4922.00

Peer Median Charge

Gross billed rate

$1023.54

Standard Baseline

Customary allowable

4.8x

National Markup

Charge vs baseline

138

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $4922.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $1023.54 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 61796 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"